45 Motivation Assessment Scale ‘% by V. Mark Durand and Daniel B. Crimmins Name Rater Date /_ ITEM RESPONSE ee 11. Does this person seem to do the behavior to Noster Behevior Deaciiption J {paet oF annoy you when you ae nt paying Meu Meer Seem Tine Unuy Atware Atay ‘Setting Description ‘attention to him orher? (For example, you are sitng in a separate room, interacting with an- ‘ther person) ITEM RESPONSE Would the behavior occur continuously, over Amat Ha 12 Does the behavior stop occurring shorty eer Almost tbe cat, ‘and over, this person was la alone for long Never Hever Sakon Tine Uaty Ateys Adware You givethisperson the toy food or actly hoor Never Never Seldom Tine Uaty Abweys Aleays Periods of ime? (For example, several hours) shehas requested? 2. Does he behavior occurfollowing arequestto Amat ate 13. When the behaviors occuring, does this pereon Amott Hate Att Perform a dificult task? ‘ets Ste may = omme seem calm and unaware of anything ele going MOC Never Sodom Tine Ususly Alwoys Aimays 1 ae erp soe ee 3. Does the behavior seem o oceurin response to att yourteing b olherpersonahthe mona? sce A tyes A 14. Does the behavior stop occuring shorty ater most atte ont {one to five minutes) you stop working or making Never Never Seldom Tine Ususty Ate. Aways 4. Does the behavioreveraccurtogetatoy, food Almont tate demands fis person? enor: ee or atvy hath peon hasbeentokthathe Mew Mew Sei Tone Uy in nm orshe canthave? 418. Does ths person seem todo the behavior to get ‘epost tne YyoUto spend some time with him orher? a a tna mre 5. Would the behavior occur repeatedly, inthe Almost Hate Almoat, 7 16. Does this benavior seem to occur when this per ‘most alte mat ‘one was around? (For exemple, rocking back ® ‘and forth for over an hour) 6. Does the behavior occur when any request ig Aimowt_— ar ey ssn ty ha SCORING Sensoy Escape _Alteion Tangible ‘7. Does the behavior occur whenever you stop nent gna ee 4, attending to this person? se A ay Aa 5. 6. 7. 8. a0 " 2 8. Dom Rebetar cca en yoke way ato | 15, ‘6 =e see stm at Tea core = — 9 Does spear you al ie pron eros et tne petamintebetaver? (eo es i, Me tin ty Seon tos Maan sree tater sour plmne) Relative hing = 10. Does te srton sam od the behavior to _ Ee Upset or annoy you when you are trying to get see ays A him or hero do what you ak? Copyright 1992 Monaco & As, Incorporated, All Rights Reserved ww ‘i ~~ . =