Motivation Assessment Scale Form
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1
2MOTIVATION 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.
ANSWERS
QUESTIONS
Almost
Half the
Almost
Never
Never
Seldom
Time
Usually
Always
Always
1.
Would the behavior occur continuously, over
0
1
2
3
4
5
6
and over, if this person was left alone for long
periods of time? (For example, several hours)
2.
Does the behavior occur following a request to
0
1
2
3
4
5
6
perform a difficult task?
3.
Does the behavior seem to occur in response to
0
1
2
3
4
5
6
your talking to other persons in the room?
4.
Does the behavior ever occur to get a toy, food,
0
1
2
3
4
5
6
or activity that this person has been told that he
or she can’t have?
5.
Would the behavior occur repeatedly, in the
same way, for very long periods of time, if no
0
1
2
3
4
5
6
one was around? (For example, rocking back
and forth for over an hour.)
6.
Does the behavior occur when any request is
0
1
2
3
4
5
6
made of this person?
7.
Does the behavior occur whenever you stop
0
1
2
3
4
5
6
attending to his person?
8.
Does the behavior occur when you take away a
0
1
2
3
4
5
6
favorite toy, food or activity?
9.
Does it appear to you that this person enjoys
0
1
2
3
4
5
6
performing the behavior? (It feels, tastes,
looks, smells and/or sound pleasing.)
10. Does this person seem to do the behavior to
upset or annoy you when you are trying to get
0
1
2
3
4
5
6
him or her to do what you ask?
CONTINUED →
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