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Initial Counseling updated (1)
& Download
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Signature of Counselor:
*
Date:
PART IV - ASSESSMENT OF THE PLAN OF ACTION
Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and
provides useful information for follow-up counseling.)
+
,
Counselor:
Individual Counseled:
Date of
Assessment:
Note: Both the counselor and the individual counseled should retain a record of the counseling.
Page 2 of 2
DA FORM 4856, JUL 2014
APD LC v1.04ES
Page:
2 of 2
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