Welcome to the first of five questionnaires, based on Maslow's hierarchy of needs. These are designed to help your counsellor better understand your life position, and assist you in devising tools and processes to benefit you.

Rate each statement from 1 star = “not at all true for me” to 10 stars = “completely true for me.” quickly with your first honest number.

You must provide a number for each statement

Once you have submitted the questionnaire, we will contact you within a week to discuss with you how you would like to progress.

1. Rooms I use are well-ventilated and seldom feel stuffy.

2. Air flows freely in my living and working areas without stagnation.

3. The air in my home and workplace feels fresh and clean.

4. My breathing remains steady even when I’m slightly stressed.

5. My breathing is easy and unlaboured during daily activities.

6. I rarely experience tightness, wheezing, or shortness of breath.

1 My regular meals provide the nutrients my body needs.

2 After most meals I feel satisfied and energised rather than sluggish.

3 I rarely have to go without a meal.

4 Healthy food is affordable and accessible to me every day.

5 My usual food choices support long-term physical health.

6 My eating patterns fit any medical, cultural, or ethical requirements I have.

1 I drink enough fluids each day to stay properly hydrated.

2 There is sufficient water available for my needs.

3 Clean, safe drinking water is always available to me.

4 My everyday beverages help maintain, rather than reduce, hydration.

5 I recognise early signs of dehydration and address them promptly.

6 I seldom go through the day feeling uncomfortably thirsty.

1 I have all supplies and facilities required for basic hygiene.

2 My living environment is clean and sanitary.

3 I have all supplies and facilities required for basic hygiene.

4 Time pressure rarely causes me to skip essential hygiene.

5 Hygiene habits leave me feeling comfortable and presentable.

6 Good hygiene positively influences my social interactions and self-confidence.

1 My living space offers privacy and a sense of home.

2 My housing reliably protects me from weather and hazards.

3 Essential repairs or maintenance are addressed promptly.

4 Housing costs don’t create ongoing financial strain.

5 I can remain in my current housing without fear of sudden loss.

6 I feel physically safe inside my home.

1 My wardrobe aligns with cultural, professional, or personal standards.

2 My clothes suit my climate, work, and daily activities.

3 Replacing worn-out items is financially manageable.

4 I own enough season-appropriate clothing to stay comfortable.

5 I can dress in ways that maintain my dignity and confidence.

6 I have suitable clothing for emergencies or special occasions.