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Functional Needs Based Assessment

FNBA Questionnaire

FNBA

Please rate each statement using the slider.
1 = Totally Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Totally Agree
1. I often feel like I don’t truly belong anywhere
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2. I often doubt whether I’m really good at anything
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3. Not knowing what others think of me makes me uneasy
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4. Too many rules make me feel trapped
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5. I sometimes feel like I’m performing rather than living
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6. I keep emotional distance even in romantic relationships
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7. I'm afraid people will reject me if they see the real me
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8. I compare myself to others and often feel inferior
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9. I replay situations in my head to try to make sense of them
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10. I get anxious in situations where I have no control
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11. I feel unsure about what defines me as a person
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12. When people show me care, I sometimes pull away
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13. I long to feel part of something, but rarely do
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14. I measure my value by what I achieve
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15. I feel safer when others are consistent and reliable
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16. I avoid commitments that limit my freedom
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17. I find it hard to hold onto a stable sense of identity
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18. It’s difficult for me to let others see my vulnerabilities
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19. I feel like an outsider in most social settings
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20. I feel uncomfortable when others don’t acknowledge my input
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21. I avoid taking risks unless I know the outcome
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22. I need to feel like I have a say in what happens to me
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23. I struggle to describe myself without referencing roles or achievements
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24. I want to feel loved for who I am, not just what I do
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25. It's difficult for me to believe people genuinely like me
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26. When my efforts are not recognised, I feel discouraged or unimportant
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27. When things are unclear, I assume the worst
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28. I feel uneasy when I rely on others too much
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29. If someone rejects me, I start to doubt my whole identity
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30. I often question whether I’m truly lovable
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31. I feel emotionally distant, even around people I care about
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32. Being successful is central to my self-worth
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33. I feel anxious when I don’t know what’s going to happen
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34. I often resist doing things if I didn’t choose them myself
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35. I worry I don’t really know what I believe or value
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36. Being truly known feels risky or unsafe
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37. I find it hard to trust others to support me emotionally
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38. Criticism, even if minor, stays with me for a long time
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39. I get overwhelmed by unexpected changes
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40. I feel frustrated when I’m told what to do
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41. I try on different personas depending on the situation
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42. I struggle to show love even when I feel it strongly
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43. I sometimes act like I don't care about others to protect myself
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44. I fear being seen as ordinary or not enough
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45. Predictability and routine help me feel emotionally safe
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46. I shut down when I feel pressured or coerced
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47. I lack confidence in expressing my opinions
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48. Part of me wants closeness, part of me pushes it away
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49. Even in close relationships, I often feel alone
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50. I often feel I need to earn people’s respect
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51. I find it hard to relax in unpredictable environments
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52. Having control over my choices is very important to me
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53. I often question whether I’m being ‘authentic’
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54. I worry I’ll be rejected if I’m emotionally open
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55. I feel safer keeping people at a distance than risking rejection
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56. I sometimes overextend myself to prove my worth
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57. I often seek reassurance when I'm unsure about something
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58. I feel most myself when I can make my own decisions
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59. My sense of self often changes depending on who I’m with
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60. Intimacy often feels uncomfortable or unfamiliar
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61. I struggle to ask for emotional support
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62. I need to feel valued and respected to feel okay about myself
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63. Uncertainty in relationships makes me feel unsafe
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64. When I feel powerless, I tend to withdraw
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65. I get confused about who I am in close relationships
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66. I long for deep connection but don’t know how to find it
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67. When I feel excluded, it deeply affects me
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68. I try hard to meet others’ expectations to feel accepted
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69. I need clear rules or structure to feel secure
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70. I sometimes act contrary just to assert independence
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71. I feel lost when I don’t have a clear goal or purpose
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72. I feel a gap between how much love I give and receive: like I give more love than I receive
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73. Feeling emotionally connected to others is very important to me
12345
74. I worry that if I stop achieving, I’ll lose my value
12345
75. I try to control things around me to reduce uncertainty
12345
76. I am sensitive to others trying to manage or direct me
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77. I sometimes feel like I don’t know who I really am
12345
78. I crave emotional closeness, but I’m afraid of getting hurt
12345
79. Belonging somewhere would make a big difference to my wellbeing
12345
80. I feel most alive when others validate or praise me
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81. I feel more at peace when I have a plan
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82. I find it difficult to ask for help even when I need it
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83. I wish I felt more secure in who I am
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84. I have difficulty receiving affection without suspicion
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85. I tend to withdraw from people when I feel misunderstood
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86. I get anxious when I feel overlooked or ignored
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87. I struggle to function when things feel chaotic or out of my control
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88. It’s important to me to live life on my own terms
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89. Other people’s approval influences how I see myself
12345
90. I fear being emotionally dependent on someone
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We recognise their continuing connection to land, water and community, and we pay respect to Elders past, present and emerging
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  • Home
  • Services
    • Supervision
    • Counselling >
      • General
      • Drug and Alcohol Counselling
    • Relationships, Sexuality, Intimacy
    • Mediation
    • Assessments >
      • Forensic Psychology
      • Child Development Assessment
      • Intellectual and Cognitive Assessments
    • Workshops >
      • Managing The Emotional Storm
      • Circle of Security
  • About
    • Our Team >
      • Steve >
        • Steve: Training & Development
      • Helena >
        • Helena Training & Development
      • Joshua
      • Carl
      • Mary
      • Caroline
      • James
      • Louise
      • Natasha
      • Dale
      • Clare
      • Laura
  • Resources
    • Downloads
    • Counselling Links
    • Forensic Psychology Links
    • Workshop Links
    • Relationship Tips
    • 5 Tips to Better Therapy
    • Sexuality Quiz
    • The Gottman Method for Healthy Relationships
    • Relationship and Sexual Health Links
  • Work with Us
    • clinical psych information
  • Contact
  • Newsletters
    • Counselling Newsletter
    • Forensic Psychology Newsletter
    • Relationships, Sexuality & Intimacy Newsletter
    • For Health Professionals
    • Previous News Items
  • Emergency Telephone contacts
  • Downloads
  • Bunbury Office
  • Wait Times
  • The Gottman Method and Helena
  • Feedback page
  • FNBT
  • Untitled
  • New Page
  • Natasha