In order to assess the various aspects of the therapeutic alliance, you will be asked if you agree or disagree with 4 statements regarding your experience with your listener in this conversation on a scale of 0 to 10. When you are done, your results will be posted back to your conversation with your listener for discussion. Be as honest as possible as your feedback really matters to your listener. Your scores will only be used to ensure you receive the best possible care.

• I Understand

My listener made me feel heard, understood and respected.

(0) means strongly disagree to (10) which means strongly agree

My listener has worked on and talked about what I wanted to work on and talk about.

(0) means strongly disagree to (10) which means strongly agree

My listener's method or approach has been a good fit for me.

(0) means strongly disagree to (10) which means strongly agree

Chatting with my listener has been right for me.

(0) means strongly disagree to (10) which means strongly agree