Session Rating Scale

The Session Rating Scale (SRS) is a 4-item ultra-brief measure of client perceptions of session quality and therapeutic alliance, developed by Miller and Duncan to support real-time feedback in psychotherapy. Administered after each session, the SRS captures client satisfaction with the relationship, alignment on goals and topics, and the therapist's approach, offering immediate insight for therapeutic adjustment. The measure is designed to operationalize common factors of psychotherapy outcome and enable therapists to respond to client feedback in vivo.