Assessing Individual Spiritual Needs Form

Assessing Individual Spiritual Needs

This self-assessing form provides the individual a tool to assist in determining some of the areas of spiritual needs being met and those needing attention. It may also be used by counselors to assess spiritual needs for clients, individually or in groups, in clinical settings while adhering to standard rules of privacy and confidentiality.

Two separate results may be obtained from the completed form: (1) A list of specific spiritual needs being underserved, and (2) an overall evaluation of the composite spiritual needs rated as “adequate”, “moderately adequate”, “moderately inadequate” and “inadequate”.

This form may be printed for personal or group use, but we ask you not to change the wording without permission.

For each numbered statement fill in the circle in one of the columns to indicate the extent to which each statement is true of you

			Never true of me		Rarely true of me		Sometimes true of me		Often true of me		Always true of me
			1	2	3	4	5	6	7	8	9
1.	A	I believe in God and His Son Jesus Christ.
2.	B	Prayer is a deeply meaningful experience for me.
3.	C	Giving away money to help others is enjoyable.
4.	D	I have obeyed the gospel
5.	E	I ask non-Christians to become Christians.
6.	F	I am a forgiving person.
7.	G	I worship God during church services
			Never true of me		Rarely true of me		Sometimes true of me		Often true of me		Always true of me
			1	2	3	4	5	6	7	8	9
8.	A	My life has been given to God.
9.	B	I pray several times a day
10.	C	My money belongs to God.
11.	D	I read my Bible often.
12.	E	People tell me they admire my Christian faith.
13.	F	I enjoy helping others.
14.	G	I worship God sometimes outside of church services.
			Never true of me		Rarely true of me		Sometimes true of me		Often true of me		Always true of me
			1	2	3	4	5	6	7	8	9
15.	A	Religion is a source of strength and comfort to me.
16.	B	Praying for others strengthens me.
17.	C	The percentage of my income I contribute to God is sufficient.
18.	D	I have a strong love for God.
19.	E	It is important to me whether others know about the gospel.
20.	F	Being around others is pleasurable.
21.	G	I enjoy attending a Bible class.
			Never true of me		Rarely true of me		Sometimes true of me		Often true of me		Always true of me
			1	2	3	4	5	6	7	8	9
22.	A	My faith involves all of my life.
23.	B	Others praying for me is meaningful.
24.	C	Not all of my giving is through the church.
25.	D	God has a purpose for me.
26.	E	I want my family and friends to go to heaven.
27.	F	I am a patient person
28.	G	Church attendance is a part of my life.
			Never true of me		Rarely true of me		Sometimes true of me		Often true of me		Always true of me
			1	2	3	4	5	6	7	8	9
29.	A	God always treats me fairly.
30.	B	God listens when I pray.
31.	C	I am a forgiving person.
32.	D	Doing as the Bible commands feels good.