The Maslow assessment of needs scale

This form is only used for data collection to assess your wellbeing. The following questions ask you about various aspects of your life and is based on the work of a man called Abraham Maslow, who created what he called his hierarchy of human needs in 1943.

Please try to answer the following questions based on how you generally feel, perhaps over the last few months (rather than how you feel right now) as how people feel about all these things can change quite quickly. We use these questions to determine what kind of help you might need from our services and whether or not they are helping you to achieve what you need.

Screening forms