Working Alliance Inventory QuestionnaireName of TherapistYour Name (completely optional)Number of Sessions Completed1. My therapist and I agreed about the things I will need to do in therapy to help improve my situation.NeverRarelyOccasionallySometimesOftenVery Often Always2. What I am doing in therapy gives me new ways of looking at my problem.NeverRarelyOccasionallySometimesOftenVery Often Always3. I believe my therapist likes me.NeverRarelyOccasionallySometimesOftenVery Often Always4. My therapist does not understand what I am trying to accomplish in therapy.NeverRarelyOccasionallySometimesOftenVery Often Always5. I am confident in my therapist’s ability to help me.NeverRarelyOccasionallySometimesOftenVery Often Always6. My therapist and I are working towards mutually agreed upon goals.NeverRarelyOccasionallySometimesOftenVery Often Always7. I feel that my therapist appreciates me.NeverRarelyOccasionallySometimesOftenVery Often Always8. We agree on what is important for me to work on.NeverRarelyOccasionallySometimesOftenVery Often Always9. My therapist and I trust one another.NeverRarelyOccasionallySometimesOftenVery Often Always10. My therapist and I have different ideas on what my problems are.NeverRarelyOccasionallySometimesOftenVery Often Always11. We have established a good understanding of the kind of changes that would be good for me.NeverRarelyOccasionallySometimesOftenVery Often Always12. I believe the way we are working with my problem is correct.NeverRarelyOccasionallySometimesOftenVery Often AlwaysSubmitThe form has been submitted successfully!There has been some error while submitting the form. Please verify all form fields again.
