MOTIVATION ASSESSMENT SCALE Name: Rater: Date: Behavior Description: Setting Description: Instructions: The Motivation Assessment Scale is a questionnaire designed to identify those situations in which an individual is likely to behave in certain ways. From this information, more informed decisions can be made concerning the selection of appropriate reinforcers and treatments. To complete the Motivation assessment Scale, select one behavior that is of particular interest. It is important that you identify the behavior very specifically. Aggressive, for example, is not as good a description as hits his sister. Once you have specified the behavior to be rated, read each question carefully and circle the one number that best describes your observations of this behavior. QUESTIONS ANSWERS Never Almost Seldom Half the Usually Almost Always 1. Would the behavior occur continuously, over and Never Time Always over, if this person was left alone for long periods of time? (For example, several hours.) 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 2. Does the behavior occur following a request to Never Time Always perform a difficult task? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 3. Does the behavior seem to in response to your Never Time Always talking to other persons in the room? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 4. Does the behavior ever occur to get a toy, food, or Never Time Always activity that this person has been told that he or she can’t have? 0 1 2 3 4 5 6 5. Would the behavior occur repeatedly, in the same Never Almost Seldom Half the Usually Almost Always way, for very long periods of time, if no one was Never Time Always around? (For example, rocking back and forth for over an hour.) 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 6. Does the behavior occur when any request is made Never Time Always of this person? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 7. Does the behavior occur whenever you stop Never Time Always attending to this person? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 8. Does the behavior occur when you take away a Time Always favorite toy, food, or activity? 0 1 2 3 4 5 6
MOTIVATION ASSESSMENT SCALE Name: Rater: Date: Behavior Description: Setting Description: Instructions: The Motivation Assessment Scale is a questionnaire designed to identify those situations in which an individual is likely to behave in certain ways. From this information, more informed decisions can be made concerning the selection of appropriate reinforcers and treatments. To complete the Motivation assessment Scale, select one behavior that is of particular interest. It is important that you identify the behavior very specifically. Aggressive, for example, is not as good a description as hits his sister. Once you have specified the behavior to be rated, read each question carefully and circle the one number that best describes your observations of this behavior. QUESTIONS ANSWERS 1. Would the behavior occur continuously, over and over, if this person was left alone for long periods of time? (For example, several hours.) Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 2. Does the behavior occur following a request to perform a difficult task? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 3. Does the behavior seem to in response to your talking to other persons in the room? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 4. Does the behavior ever occur to get a toy, food, or activity that this person has been told that he or she can’t have? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 5. Would the behavior occur repeatedly, in the same way, for very long periods of time, if no one was around? (For example, rocking back and forth for over an hour.) Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 6. Does the behavior occur when any request is made of this person? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 7. Does the behavior occur whenever you stop attending to this person? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 8. Does the behavior occur when you take away a favorite toy, food, or activity? Never 0 Almost 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6