Core Needs Assessment

Core Needs Assessment

Select one answer for each question - Use either True or False as much as possible for accurate result. Its best to click "False" if doesn't apply at all. Be completely honest with yourself and go with the first answer that pops into your head (it's about yourself and how you feel, what you believe)
Date *

Day Month Year
Date
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
1. People come to me for advice - They trust and value my opinion

True Partly true False

2. I enjoy belonging to a group of people with similar interests

True Partly true False

3. Every now and then I find myself getting "back to basics"

True Partly true False

4. I will step "out on a limb" if I feel there is benefit in it

True Partly true False

5. I am happy to make changes in life

True Partly true False

6. I go with the motto "If at first you don't succeed try and try again"

True Partly true False

7. I like to improve the lives of others

True Partly true False

8. Family time is very special to me

True Partly true False

9. I am concerned about what people think of me

True Partly true False

10. I take pride in having a stable home environment

True Partly true False

11. I believe in having a "community spirit"

True Partly true False

12. I sometimes wake up at night with new ideas

True Partly true False

13. I value feeling safe and secure

True Partly true False

14. I like to set a good example for other people

True Partly true False

15. It is important to me to do well in competitions

True Partly true False

16. I like to try different restaurants each time I go out

True Partly true False

17. I enjoy networking and meeting new people

True Partly true False

18. I enjoy any chance to improve myself

True Partly true False

19. I do not see the point in thrill-seeking activities such as sky-diving

True Partly true False

20. I am the giver in my friendships and romantic relationships

True Partly true False

21. I like to stretch myself and move out of my comfort zone

True Partly true False

22. It is important to me that I lead a satisfying life by helping others

True Partly true False

23. I feel that I would really like to "make my mark on the world"

True Partly true False

24. I like to know what is going to happen when I attend an event

True Partly true False

25. I am demonstrative when it comes to showing my love

True Partly true False

26. It gives me a buzz to receive awards for my achievements

True Partly true False

27. I like surprises

True Partly true False

28. I am budget conscious and do not like to waste money

True Partly true False

29. Question - growth
29. Education is one of the best investments you can make

True Partly true False

30. I like to share what I learn and help others to improve their life

True Partly true False

31. I like to experience different cultures

True Partly true False

32. I could be classed as a "people pleaser"

True Partly true False

33. I like to have a set routine to my day

True Partly true False

34. I enjoy being recognised in a crowd

True Partly true False

35. I find that bad past experiences are a chance to learn how to do things better in the future

True Partly true False

36. Charity work is something I like to add to my life

True Partly true False

37. If there are two alternate paths I will choose the path others have used before rather than one that hasn't been used much

True Partly true False

38. I find that I tend to put others needs before my own

True Partly true False

39. I will shop for what I like rather than noticing price and can be an impulsive shopper

True Partly true False

40. I like to be given responsibility and am thrilled to get promotions

True Partly true False

41. I feel that every day there is a chance to learn something new

True Partly true False

42. I like to see others shine and will help them to do this

True Partly true False

43. I like teamwork rather than working on my own

True Partly true False

44. It gives me satisfaction to see that I have contributed to make someone else's day a good one

True Partly true False

45. I always plan my outfit well ahead if attending an important event

True Partly true False

46. I am very happy when given free rein to manage a project and can use my creative skills

True Partly true False

47. I enjoy reading detective novels and mystery movies more than true stories

True Partly true False

48. It matters to me very much that I drive a good quality motor vehicle

True Partly true False

49. I would rather receive flowers or a personal gift than an expensive gift voucher from my partner

True Partly true False

50. I always like to absorb as much information as I can from successful people

True Partly true False

51. I enjoy helping others celebrate birthdays and special events

True Partly true False

52. It gives me a great feeling if I can be at the top of the ladder with success in anything I do

True Partly true False

53. I go with the motto "Better safe than sorry"

True Partly true False

54. I identify with the saying "Every day in every way I am getting better and better"

True Partly true False

55. If it helps others it is worth doing

True Partly true False

56. It makes me feel good to receive compliments

True Partly true False

57. I like to challenge myself to increase my fitness levels and measure progress

True Partly true False

58. I believe in leaving a place better than how I found it

True Partly true False

59. I like to keep developing in all areas of life

True Partly true False

60. Connection with other people is important for a healthy fulfilled life

True Partly true False

61. Question - uncertainty
61. I would rather not know what I am having for dinner prior to going out

True Partly true False

62. I like to know the sex of a baby before he/she is born

True Partly true False

63. A "Magical Mystery Tour" sounds appealing to me

True Partly true False

64. I like to "last minute pack" for a holiday

True Partly true False

65. I would love to have an increase in publicity

True Partly true False

66. I would rather shop somewhere which donates to a good cause than a place which is slightly cheaper but doesn't donate a percentage

True Partly true False
Should be Empty:

Core Needs Assessment

29. Question - growth

61. Question - uncertainty