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. Author manuscript; available in PMC: 2013 Jul 2.
Published in final edited form as: Am J Addict. 2011 Dec 15;21(1):63–71. doi: 10.1111/j.1521-0391.2011.00197.x

Thinking about THE SESSION YOU JUST ATTENDED: Not at all A little bit Moderately Quite a bit Very much so

1. Did you feel accepted and respected by your clinician?

2. Did you feel that you and your clinician were working together to overcome your problems?

3. Did you feel that your clinician understood what you hoped to get out of treatment?

4. Did you feel confident that through your own efforts and those of your clinician you will gain relief from your problems?

5. Did you feel comfortable raising issues or concerns?

6. Were things explained to you in a way you could understand?

7. Was the session helpful?