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GAS · Goal Attainment Scaling

10 min · −2 to +2 per goal · higher is better

1 Before you use it

What it is

A method, not a questionnaire. You and the patient define goals, then specify five levels of outcome for each — much less than expected (−2), less than expected (−1), expected (0), more than expected (+1), much more than expected (+2) — before treatment starts.

When to reach for it

Complex or multi-problem presentations where no standard measure fits, and where negotiating what "success" looks like is itself part of the treatment.

Pairs naturally with PSFS — PSFS names the activities, GAS defines what achieving them looks like.

2 Giving it

Scoring

Each goal scored −2 to +2 at review. Weighted composites can be calculated. The levels must be written before treatment, or it isn't GAS.

What it doesn’t measure

Compare between patients, and it takes real time to set up properly.

3 Reading the score

Interpreting it

0 means the expected outcome was achieved, which is the point of the method — it calibrates against a prediction rather than a population norm.

No verified psychometric figures are carried in our library and none are printed here.

Is the change real?

No verified MCID or MDC is carried in our library for this measure, so the number on its own cannot tell you a change is real. Compare it to this patient's own baseline and say what changed functionally.

Student trap. Writing the outcome levels after treatment. Then it's a rating, not goal attainment scaling.

Official source: null. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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