Shared Information and Feedback Map

Assessment & Discovery Tools

Optional client-owned prompts; use, adapt, reorder, or skip based on context.

Using This Optional Tool

This page offers optional prompts to use four optional information-and-feedback areas while preserving consent, privacy, power, access, context, and the right not to disclose or request feedback. The fields are prompts, not findings, requirements, or a complete model of the situation.

Use the client's own words and distinguish observations from interpretations and unknowns. Any field may be renamed, reordered, left blank, revisited, or discarded.

How to Use Shared Information and Feedback Map

Choose one relevant situation, example, or question, or skip the page.
Record observed information separately from interpretations and unknowns.
Use any number of fields in any order; no answer, blank, rating, difficulty, or repetition proves a cause, trait, priority, risk, or outcome.
Review or share only what the client chooses and keep any next step optional.

Choice and Support Boundary

Optional coaching reflection - not therapy, diagnosis, medical care, financial, tax, accounting, investment, legal, or employment advice, and not a validated assessment. Skip, adapt, or stop. Do not infer causes, conditions, traits, motives, truth, risk, priority, or required responses. Preserve privacy, consent, access, context, and uncertainty; use qualified or emergency support for unsafe, severe, or out-of-scope concerns.

Shared Information and Feedback Map

Date:

Focus Area:

Known to Self

Unknown to Self

Known to Others

Unknown to Others

Open / Shared (Optional)

Private / Unshared (No Disclosure Required)

Unknown / Unexplored

Before Your Next Session

Now that you can see it:

Use the feedback area only with consent. What feedback question, source, or blank is appropriate?
Private information may remain private. What boundary, context, or uncertainty would you like to note?
What direct evidence, feedback, interpretation, or unknown is present across the areas?

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