Outcome Rating Scale (ORS)
Outcome Rating Scale (ORS)
Outcome Rating Scale (ORS)
Looking back over the last week, including today, help us understand how you have been
feeling by rating how well you have been doing in the following areas of your life, where
marks to the left represent low levels and marks to the right indicate high levels. If you are
filling out this form for another person, please fill out according to how you think he or she
is doing.
I----------------------------------------------------------------------I
Interpersonally
(Family, close relationships)
I----------------------------------------------------------------------I
Socially
(Work, school, friendships)
I----------------------------------------------------------------------I
Overall
(General sense of well-being)
I----------------------------------------------------------------------I
Please rate today’s session by placing a mark on the line nearest to the description that best
fits your experience.
Relationship
I did not feel heard, I felt heard,
understood, and I-------------------------------------------------------------------------I understood, and
respected. respected.
Approach or Method
The therapist’s The therapist’s
approach is not a good I-------------------------------------------------------------------------I approach is a good fit
fit for me. for me.
Overall
There was something Overall, today’s
missing in the session I------------------------------------------------------------------------I session was right for
today. me.
How are you doing? How are things going in your life? Please make a mark on the scale to
let us know. The closer to the smiley face, the better things are. The closer to the frowny
face, things are not so good. If you are a caretaker filling out this form, please fill out
according to how you think the child is doing.
Me
(How am I doing?)
I------------------------------------------------------------------------------------I
Family
(How are things in my family?)
I------------------------------------------------------------------------------------I
School
(How am I doing at school?)
I------------------------------------------------------------------------------------I
Everything
(How is everything going?)
I------------------------------------------------------------------------------------I
How was our time together today? Please put a mark on the lines below to let us know how
you feel.
Listening
______________
I-----------------------------------------------------------------------------------I ___________
did not always listened to me.
listen to me.
Overall
I wish we could do I-----------------------------------------------------------------------------------I I hope we do the
something different. same kind of
things next time.