Goal Attainment Scaling for ________________________________________
Levels of  Predicted  Attainment	Scale 13 (Wt.) ____ Smoking	Scale 14 (Wt.) _____ Alcohol	Scale 15 (Wt.) ____ Domestic Violence	Scale 16 (Wt.) ____ Decision making	Scale 17 (Wt.) ____	Scale 18 (Wt.) ______
+ 2  Much more than  expected  outcome	Stopped 1 2 3 4 5 6 7 8	Stopped 1 2 3 4 5 6 7 8	Out of relationship and stays out 1  2  3  4  5  6  7  8	Makes plans, follows through, modifies if needed, and reaches goals 1 2 3 4 5 6 7 8	1  2  3  4  5  6  7  8	1 2 3 4 5 6 7 8
+1  More than  expected outcome	1 2 3 4 5 6 7 8	1 2 3 4 5 6 7 8	Court gets involved and she follows through 1  2  3  4  5  6  7  8	Makes plans, follows through without assistance unless plan needs changing 1  2  3  4  5  6  7  8	1  2  3  4  5  6  7  8	1 2 3 4 5 6 7 8
0  Expected  outcome	Cuts down significantly 1 2 3 4 5 6 7 8	Cuts down significantly 1 2 3 4 5 6 7 8	Professional help without court involvement 1 2 3 4 5 6 7 8	Makes plans, and follows through with assistance/reminders 1  2  3  4  5  6  7  8	1  2  3  4  5  6  7  8	1 2 3 4 5 6 7 8
-1  Less than  expected  outcome	Makes efforts but fails 1 2 3 4 5 6 7 8	Makes efforts but fails 1 2 3 4 5 6 7 8	Has gone in/out relationship 1  2  3  4  5  6  7  8	Makes plans but does not take any action to follow through 1  2  3  4  5  6  7  8	1 2 3 4 5 6 7 8	1 2 3 4 5 6 7 8
-2  Much  less than  expected  outcome	Makes no effort to stop 1 2 3 4 5 6 7 8	Makes no effort to stop 1 2 3 4 5 6 7 8	In DV relations and court involvement and not doing anything about it 1  2  3  4  5  6  7  8	Can consider alternatives but dos not decided on a plan 1  2  3  4  5  6  7  8	1  2  3  4  5  6  7  8	1 2 3 4 5 6 7 8

GAS Composite Scores 1 = ____ 2 = ____ 3 = ____ 4 = ____ 5 = ____ 6 = ____ 7 = ____ 8 = ____