FAMILY NEEDS & STRENGTHS ASSESSMENT (Family NASA)

CIRCLE the number that best shows how your family is doing in each area. Also, CHECK the box next to each area if you would like some help with ideas or resources.

 

q Finances (income vs. expenses, savings vs. debt)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


q Education/Training (marketable skills and credentials for working-age family members)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


q Employment (for all family members who want or need to work)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources

q Transportation (to meet all family members’ needs)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources

q Health (physical, dental, vision, prescriptions, drug/alcohol use, etc. for all family members)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources

q Housing (where you live now or, if you plan to move soon, where you’ll be living)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


q Social support (connections to friends, extended family outside the home, community belonging)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


q Child Care (for all children in the home while not in school)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


 q Food & Nutrition (ability to buy, prepare, and eat healthy food for all family members)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources


q Family Relationships (how people in the home are getting along; parenting)

We have
stress,
instability,
and lack of
resources

      -5         -4         -3         -2         -1           1         2         3         4         5                            level of need                                      level of strength

We have
confidence,
stability, and
access to
resources