THE HELPING ALLIANCE QUESTIONNAIRE
Patient Version
INSTRUCTIONS: These are ways that a person may feel or behave in relation to
another person -- their therapist. Consider carefully your relationship with your therapist,
and then mark each statement according to how strongly you agree or disagree. Please
mark every one.
strongly disagree slightly slightly agree strongly
disagree disagree agree agree
1. I feel I can depend upon the 1 2 3 4 5 6
therapist.
2. I feel the therapist understands me. 1 2 3 4 5 6
3. I feel the therapist wants me to 1 2 3 4 5 6
achieve my goals.
4. At times I distrust the therapist's 1 2 3 4 5 6
judgment.
5. I feel I am working together with the 1 2 3 4 5 6
therapist in a joint effort.
6. I believe we have similar ideas about 1 2 3 4 5 6
the nature of my problems.
7. I generally respect the therapist's 1 2 3 4 5 6
views about me.
8. The procedures used in my therapy 1 2 3 4 5 6
are not well suited to my needs.
9. I like the therapist as a person. 1 2 3 4 5 6
10. In most sessions, the therapist and 1 2 3 4 5 6
I find a way to work on my
problems together.
11. The therapist relates to me in ways 1 2 3 4 5 6
that slow up the progress of the
therapy.
12. A good relationship has formed 1 2 3 4 5 6
with my therapist.
13. The therapist appears to be 1 2 3 4 5 6
experienced in helping people.
14. I want very much to work out my 1 2 3 4 5 6
problems.
15. The therapist and I have 1 2 3 4 5 6
meaningful exchanges.
16. The therapist and I sometimes have 1 2 3 4 5 6
unprofitable exchanges.
17. From time to time, we both talk 1 2 3 4 5 6
about the same important events
in my past.
18. I believe the therapist likes me as a 1 2 3 4 5 6
person.
19. At times the therapist seems 1 2 3 4 5 6
distant.
THE HELPING ALLIANCE QUESTIONNAIRE
Therapist Version
INSTRUCTIONS: These are ways that a person may feel or behave in relation to
another person -- their therapist. Consider carefully your relationship with your patient,
and then mark each statement according to how strongly you agree or disagree. Please
mark every one.
strongly disagree slightly slightly agree strongly
disagree disagree agree agree
1. The patient feels he/she can depend 1 2 3 4 5 6
upon me.
2. He/she feels I understand him/her. 1 2 3 4 5 6
3. The patient feels I want him/her to 1 2 3 4 5 6
achieve the goals.
4. At times the patient distrusts my 1 2 3 4 5 6
judgment.
5. The patient feels he/she is working 1 2 3 4 5 6
together with me in a joint effort.
6. I believe we have similar ideas about 1 2 3 4 5 6
the nature of his/her problems.
7. The patient generally respects my 1 2 3 4 5 6
views about him/her.
8. The patient believes the procedures 1 2 3 4 5 6
used in his/her therapy are not well
suited to his/her needs.
9. The patient likes me as a person. 1 2 3 4 5 6
10. In most sessions, we find a way to 1 2 3 4 5 6
work on his/her problems together.
11. The patient believes I relate to him/her 1 2 3 4 5 6
in ways that slow up the progress of
the therapy.
12. The patient believes a good 1 2 3 4 5 6
relationship
has formed between us.
13. The patient believes I am 1 2 3 4 5 6
experienced in helping people.
14. I want very much for the patient to 1 2 3 4 5 6
work out his/her problems.
15. The patient and I have 1 2 3 4 5 6
meaningful exchanges.
16. The patient and I sometimes have 1 2 3 4 5 6
unprofitable exchanges.
17. From time to time, we both talk 1 2 3 4 5 6
about the same important events
in his/her past.
18. The patient believes I like him/her as a 1 2 3 4 5 6
person.
19. At times the patient sees me as 1 2 3 4 5 6
distant.
