Working Alliance Inventory - Client

Short form (C)
Instructions
On the following pages there are sentences that describe some of the different ways a person might think or feel about his or her therapist (counselor). As you read the sentences mentally insert the name of your therapist (counselor) in place of _____________ in the text.
Below each statement inside there is a seven point scale:
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
If the statement describes the way you always feel (or think) circle the number 7; if it never applies to you circle the number 1. Use the numbers in between to describe the variations between these extremes.
This questionnaire is CONFIDENTIAL; neither your therapist nor the agency will see your answers.
Work fast, your first impressions are the ones we would like to see. (PLEASE DON'T FORGET TO RESPOND TO EVERY ITEM.)
Thank you for your cooperation.
_______________ and I agree 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
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
I believe _______________ likes me.
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
_______________ 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
I am confident in _______________ 's ability to help me.
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
_______________ and I are working towards mutually agreed upon goals.
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
I feel that _______________ appreciates me.
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
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
_______________ and I trust one another.
1 Never	2 Rarely	3 Occasionally	4 Sometimes	5 Often	6 Very often	7 Always
_______________ 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
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
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

Scoring key for the WAI Short form (C)
Task scale items:			1	2	8	12
Direction* of scoring:			+	+	+	+

Bond scale items:			3	5	7	9
Direction* of scoring:			+	+	+	+

Goal scale items:			4	6	10	11
Direction* of scoring:			–	+	–	+

* Items marked positive (+) -> high values are better alliance; otherwise (–) reverse scoring.

Graphic 100117 Version 1.0

خرید پکیج

Working Alliance Inventory - Client