Client Expectations Questionnaire for Early CBT Engagement

The Client Expectations Questionnaire is a brief early CBT assessment and engagement worksheet for therapists working with clients experiencing psychotic symptoms. It helps the therapist make expectations about therapy, personal benefit, change, and outcomes explicit so they can be discussed collaboratively.

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Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

When It Is Used

Use during early CBT assessment and engagement when therapy or outcome expectations should be made explicit before treatment proceeds.

What It Does Not Do

The tool does not diagnose hopelessness, predict outcomes, recommend treatment steps, or decide whether an expectation is clinically realistic.

Who completes the questionnaire?

The client completes the expectation ratings, either in session with the therapist or between sessions.

Does the tool score motivation or prognosis?

No. It organizes reported expectations into a brief profile and does not produce a motivation score, prognosis, diagnosis, or treatment recommendation.

Can the therapist add interpretation?

Yes. Practitioner notes can be added separately from client-reported ratings and system-derived summaries.