Human Emotional Needs

Every thing you do (your behavior) is based on five basic emotional needs. Survival, Belonging, Power, Freedom, and Fun. Complete this survey to help you and your teacher understand how you are impacted by your needs.
Name: 


  1. Name at least three people who have helped you take care of yourself physically.


  1. Name at least three things you do to take care of yourself.


  1. Name three places that you feel safe.


  1. Who are the most important people in your life?


  1. What are some things you do to bring you closer to people.


  1. Name a place where you feel connected to people.


  1. Who are some people that taught you something useful or who is a person that listens to you.


  1. List the people that you can be yourself around.


  1. List a place that you feel free. (where)


  1. List the fun people in your life


  1. List a fun place to you.


  1. What are some things that you are good at?


  1. What are some things you are working on getting better at?