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Agnew Relationship Measure - 5 (Client Version)

Agnew Relationship Measure - 5 (Client Version)

What is ARM-5 (Client Version)

The Agnew Relationship Measure - 5 (ARM-5) is a 5-item self-report measure designed to assess the client- therapist alliance. The ARM-5 is a short form version of the original 28-item ARM. It includes five items from three of the ARM’s five scales, Bond, Partnership, and Confidence.

ARM-5 (Client Version) Printable PDF

You can create a free account on PsyPack to access fillable PDFs, manuals and educational resources for the ARM-5 (Client Version)

ARM-5 (Client Version) Scoring and Interpretation

The ARM-5 comprises 5 sentences describing the client, the therapist, and the client-therapist relationship, rated using 7-point scale (1 to 7) anchored from "strongly disagree" to "strongly agree".

This scale's item number 3 is is loaded negatively.

ARM-5 Score is calculated as mean of the constituent item ratings, after reversing the scoring for items that loaded negatively.

Means, Standard Deviations, and Internal Consistency for client version of the ARM-5

Table 4

Leeds Depression Research Clinic (n = 359-374 sessions)




Second Sheffield Psychotherapy Project (n = 1073 to 1105 sessions)




Kingston Study sample (n = 286 sessions)




PsyPack can automatically score the ARM-5 (Client Version) assessment and prepare corresponding tables and graphs.

ARM-5 (Client Version) sample result

Further, PsyPack automatically plots a graph to help you easily track progress over time.

ARM-5 (Client Version) track progress

Sample Report of ARM-5 (Client Version)


Client-Therapist Alliance

What does ARM-5 (Client Version) measure

The purpose of the evaluation is to:

  • assess the client- therapist alliance.



Type of outcome tool

Positive psychology

Assessment modes


Age and eligibility

18 years and above

Estimated time

About 2 minutes


Since the questionnaire relies on client self-report, all responses should be verified by the practitioner, and a definitive analysis is made taking into account how well the client understood the questionnaire, as well as other relevant information from the client. As is true of any self-report instrument, respondents can consciously distort their response to the scale if they are motivated to do so.

ARM-5 was intended as a very short index of the core alliance construct that could be used to track alliance in busy practice settings as a clinical decision tool. For example, feedback to participants on the status of their alliance might signaling alliance ruptures in time to facilitate their repair, just as feedback on clients’ progress on symptom intensity measures results in improved outcomes, particularly for clients who have a poor initial response to treatment .

Attribution and References

Cahill J, Stiles WB, Barkham M, Hardy GE, Stone G, Agnew-Davies R, Unsworth G. Two short forms of the Agnew Relationship Measure: the ARM-5 and ARM-12. Psychother Res. 2012;22(3):241-55. doi: 10.1080/10503307.2011.643253. Epub 2011 Dec 22. PMID: 22191469.