Motivational Assessment Scale II - University of Oregon

1 Mo#va#onal Assessment Scale IITest VersionName: Age: Rater: Today s Date: Behavior Descrip:on: Se=ng Descrip:on: Frequency Descrip:on: (circle only one): More than once per day;YearMonthWeekDay HourName:Enter the name of the individual with the problem :Enter the name of the person filling out the Scale or being Descrip:on:Enter a specific behavior ( , hit his head) rather than a more general descrip:on of the individual s behavior ( , he gets upset)Se=ng Descrip:on:Specify the situa:on where the behavior is a problem ( , at home aQer dinner, during lunch, during one- on- one teaching.)

2 INSTRUCTION TO RATERSRate each of the items on the following pages by circling the number that corresponds to about how oQen the individual engages in the behavior indicated, in the se=ng which has been Assessment Scale IITEST EDITIONITEMRESPONSEN everAlmostNeverSeldomHalf the TimeUsuallyAlmostAlwaysAlways1. Would the behavior occur con:nuously, over and over, if this person was leQ alone for long periods of :me? (For example, several hours.)01234562. Does the behavior occurs following a request to perform to him or her?01234563. Does this behavior occur when others are adending to him or her?

3 01234564. Does the behavior occur in response to your talking to other persons in the room?01234565. Does the behavior ever occur to get a toy, food, or ac:vity that this person has been told that he or she cannot have01234566. Would the behavior occur repeatedly, in the same way, for very long periods of :me, if no one was around? (For example, rocking back and forth for over an hour.)01234567. Does the behavior occur when any request in made of this person?01234568. Does the behavior occur when there are many people around?01234569. Does the behavior occur whenever you stop paying aden:on to this person?

4 012345610. Does the behavior occur when you take away a favorite toy, food, or ac:vity?012345611. Does it appear to you that this person enjoys performing the behavior? (It feels, tastes, smells, and/or sounds pleasing?)012345612. Does this person seem to do the behavior to upset of annoy you when you are trying to get him or her to do what you ask?012345613. Does the behavior stop occurring when he or she is leQ alone?0123456 ITEMRESPONSEN everAlmostNeverSeldomHalf the TimeUsuallyAlmostAlwaysAlways14. Does this person seem to do his behavior to upset or annoy you when you are not paying aden:on to him for her?

5 (For example, if you are si=ng in a separate room, interac:ng with another person?)012345615. Does the behavior stop occurring shortly aQer you give this person the toy, food, or ac:vity, he or she has requested?012345616. When the behavior is occurring, does this person seem calm and unaware of anything else going on around him or her?012345617. Does this person seem to do the behavior to get people to stop paying aden:on to him or her?012345618. Does the behavior seem to occur when this person has been told that he or she cannot do something he or she had wanted to do?

6 012345619. Does this person ignore others when engaging in this behavior?012345620. Does the behavior stop occurring shortly aQer (one to five minutes) you stop working or making demands of this person?012345621. Do others try and prevent this behavior by not adending to him/her?012345622. Does this person always have access to a par:cular food, item, or ac:vity in an effort to avoid this behavior?012345623. Does this person always have access to a par:cular food, item, or ac:vity in an effort to avoid this behavior?012345624. Does it seem that this behavior occurs most oQen during down :me , when there is not much ac:vity going on in the classroom/work se=ng?

7 012345625. Is this person not asked to do certain tasks because of this behavior?012345626. Do others try and prevent this behavior by talking to or paying aden:on to him/her?0123456 ITEMRESPONSEN everAlmostNeverSeldomHalf the TimeUsuallyAlmostAlwaysAlways27. Does this behavior occur when he or she seems bored?012345628. Does the behavior allow the person to get out of doing what you ask of him/her?012345629. Does this person spend much :me alone, in an effort by others to stop this behavior?012345630. Does this person always seem to have one- on- one aden:on from others in an effort to prevent this behavior?

8 12345631. Do others use items like a toy, food, or an ac:vity to convince him or her to do certain things?012345632. Does this behavior stop when he or she is performing an ac:vity and then start again as soon as the ac:vity is completed?012345633. Does the behavior rarely occur when he or she is si=ng by him or herself?012345634. Would this behavior occur if he or she is si=ng by him or herself?012345635. Does engaging in this behavior seem to make him or her happy, content, or less frustrated?012345636. Does the behavior stop if you let him/her take a break from whatever is going on?

9 012345637. Does the behavior seem to occur most oQen when other try to interact with him/her?012345638. Does the presence of other people make this behavior less likely to occur?012345639. Would giving him a favorite object, food or other item stop the behavior?012345640. Do others have to ask him or her to stop this behavior before they can ask him or her to do anything else?012345641. Are requests not make of this person for fear they will engage in the behavior?012345642. Does this person seem to enjoy his or her :me alone?0123456 ITEMRESPONSEN everAlmostNeverSeldomHalf the TimeUsuallyAlmostAlwaysAlways43.

10 Does this behavior occur when everyone seems to be busy and not able to adend to him or her?012345644. Do others try and prevent this behavior by giving him or her something to do, eat, or play with?012345645. Would the behavior occur con:nuously, over and over, if this person in an unstructured se=ng (ie., no demands, lidle aden:on) for long periods of :me? (For example, several hours)012345646. Does it seem that this behavior occurs most oQen during group ac:vi:es?012345647. Would the behavior occur repeatedly, in the same way, for very long periods of :me?