Free therapeutic alliance survey — bond, goals and tasks scored in five minutes so clinicians can repair ruptures before clients quietly drift out.
Quick answer
Free therapeutic alliance survey — bond, goals and tasks scored in five minutes so clinicians can repair ruptures before clients quietly drift out.
Disclaimer: this survey supports practice reflection for licensed therapists and trainees. It is not a clinical assessment; significant alliance concerns belong in supervision.
Content note: items are illustrative and original — not a validated instrument; adapt to your context.
The alliance — bond, goal agreement and shared sense of tasks — predicts outcomes more reliably than technique, and ruptures almost never get raised in session. This survey scores the three axes in five minutes, with an optional line for what clients have not said out loud, giving therapists repair material before drift becomes dropout.
Fillable sample survey preview (live once the app is published).
The bond, goals and task items behind the five-minute survey.
Bond, goal agreement and task sense scored apart.
Direct lines on safety and speaking up.
A door for what scales cannot carry.
Alliance over time per client and across the caseload.
From copy to an alliance reading in four steps.
Import the survey into your workspace — free.
Mid-therapy plus after difficult sessions.
Five minutes on any device.
Low bond or task scores open the repair conversation.
Who uses it — experienced therapists, trainees or clinic leads.
A calm instrument for the alliance you cannot overhear.
Supervision conversations grounded in data.
Alliance risk visible without reading notes.
What makes this alliance survey surface ruptures early.
A preview of the real items — adjust wording to your practice.
