This form is a tool for spotting the state of your hierarchy of 6 levels of need (Maslow) and from there figuring out the best point of intervention to solve it.
REFRAME Finding the True Need
Finding the true need and clarifying the point of intervention
[form]
Name: [text,r_name,40]
Email: [text,r_email,30]
The NEEDS pathway to Resolution
This is an assessment of your needs using Maslow's hierarchy of needs. It produces a hexagraph map of your mix of needs being met or not met. The use of this assessment is designed to identify the most fruitful level for intervention in relationship to the issues in life you are seeking a resolution to.
The issue I am trying to RESOLVE
[textarea,I am trying to find a resolution for,4,70]
WHO or WHAT else does this involve?
Choose what or who you are focusing on in terms of being in relation to whom or what, for the purpose of this journal
[list,relation]
[option,0,Select who or what your focus is on]
[option,Self,Self]
[option,Spouse or Partner,My Spouse or Partner]
[option,One of my Children,One of my children]
[option,other or others,An other person or persons]
[option,Life in general,Life in general]
[option,God as I understand such,God in terms of whom I accept to be so]
[option,my Social Environment,My social environment in terms of relationships]
[option,my Physical Environment,My physical environment in terms of where I live or am]
[option,my Work Environment,My work environment or work place]
[/list]
If something else then what?
[text,In relation to,80]
HERE is a sequence of six steps each setting the context for the one following. WHEN you have decided which need you want to satisfy more than any other, look closely at the need above it to make your plan of intervention.
Basic Needs: These are things like food, water, clothing, shelter. Things you need to exist or stay alive. Bottom line needs for existence.
[list,basic need state]
[option,0,Choose which describes your basic need satisfaction]
[option,8 YES,Yes my basic needs are being met or going to be met ]
[option,6 maybe,My basic needs were being met but they are now in question. ]
[option,7 NO,No my basic needs are not being met that well. ]
[option,9 MAYBE,My basic needs were not being met but now changing. ]
[/list]
Safety and Security needs: These are things pretty much as the phrase implies.
[list,safety and security need state]
[option,0,Choose which describes your Safety and Security needs ]
[option,8 YES,Yes my need for safety and security is being provided ]
[option,6 maybe,My need for safety and security was being met but now in question ]
[option,7 NO,No my need for safety and security is not being met ]
[option,9 MAYBE,My need for safety and security is not being met but now changing. ]
[/list]
Love and belonging: being part of intimate community e.g. family, community, fellowship where you feel loved, valued and accepted i.e. feeling you belong.
[list,love and belonging need state]
[option,0,Choose which describes your Love and Belonging needs ]
[option,8 YES,Yes my needs for love and belonging are being met ]
[option,6 maybe,My need was being met but now in question ]
[option,7 NO,No my need for love and belonging is not being met ]
[option,9 MAYBE,My need for love and belonging was not being met but now changing ]
[/list]
Self Acceptance: My need to accept myself unconditionally or as near as possible to it.
[list,self acceptance need state]
[option,0,Choose which describes your Self Acceptance needs ]
[option,8 YES,Yes my acceptance needs are being met ]
[option,6 maybe,My need was being met but now in question ]
[option,7 NO,No my need for self acceptance are not being met ]
[option,9 MAYBE,My need was not being met but now shifting or changing ]
[/list]
Actualisation: Something similar to feeling or sensing one has matured or arrived, and that you've connected with your purpose and its showing itself to you and others.
[list,actualisation need state]
[option,0,Choose which describes your actualisation needs ]
[option,8 YES,Yes my needs for actualisation are being met. ]
[option,6 maybe,My need was being met but now in question ]
[option,7 NO,No my needs for actualisation are not being met ]
[option,9 MAYBE,My need was not being met but now changing. ]
[/list]
Meta-needs: This is the spiritual dimension of a felt need to be at one with all things, people. A connection to the wider sense of things as in the WHOLE picture
[list,meta or spiritual need state]
[option,0,Choose which describes your state of Meta or Spiritual needs ]
[option,8 YES,Yes my meta or spiritual needs are being met ]
[option,6 maybe,My meta needs were being met but are now in question ]
[option,7 NO,No my meta needs are not being met. ]
[option,9 MAYBE,My meta needs were not being met but are now changing]
[/list]
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RESOLUTION
Which of your needs are not being met or are in question?
[text,these needs are not being met,80]
The lack of Which do you feel most?
[text,this is my priority,80]
Why do you want -it-?
[textarea,this is why I want -it-,3,70]
Who can supply -it-?
[checkbox,I can supply it] I can
[checkbox,others can supply it] Others can
Any other sources of supply?
[text,other means of getting it are,80]
IT is one thing to know where it is and when you want it and who can supply it, BUT are those sources willing or accessible?
Who is willing to supply -it-?
[checkbox,I am willing to do what I can] I am willing to do what I can
[checkbox,there are others who are willing] Others are willing to help me
Other willing sources are...
[text,other willing sources are,80]
What blocks you getting it?
[checkbox,finances] Financial constraints
[checkbox,motivation] Motivation
[checkbox,Mixed emotions] I've got mixed emotions about getting it
[checkbox,abilities] I don't have the skills required.
[checkbox,negotiation] I am not effective in negotiating
Any other blocks?
[text,other blocks are,80]
What are you prepared to supply those who help you? I.e. What's the "WIN" in it for them?
[text,I am prepared to supply,80]
SO what's your plan of action?
[textarea,This is my plan of action,4,70]
[checkbox,send copy,checked]I want to receive a copy of this by email so I can keep a track of the issue and my work to resolve it.
[submit,SEND this Journal][reset,Start Over again]
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