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Working Alliance Inventory Short Form (12 Questions)
CG Therapies
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Working Alliance Inventory Short Form (12 Questions)
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Name of Therapist:
*
Your First Name (optional):
Number of Completed Sessions with Therapist
*
0
1
2 - 4
5 - 8
9 or more
1. My therapist and I agreed about the things I will need to do in therapy to help improve my situation.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
2. What I am doing in therapy gives me new ways of looking at my problem.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
3. I believe my therapist likes me.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
4. My therapist does not understand what I am trying to accomplish in therapy.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
5. I am confident in my therapist's ability to help me.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
6. My therapist and I are working towards mutually agreed upon goals.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
7. I feel that my therapist appreciates me.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
8. We agree on what is important for me to work on.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
9. My therapist and I trust one another.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
10. My therapist and I have different ideas on what my problems are.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
11. We have established a good understanding of the kind of changes that would be good for me.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
12. I believe the way we are working with my problem is correct.
1. Never
2. Rarely
3. Occasionally
4. Sometimes
5. Often
6. Very Often
7. Always
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