All Life Stressors), a psycho-social spiritual assessment, and to identify items that needed to be removed or revised to ensure a parsimonious scale. Method: Literature review and qualitative inquiry were used to conceptualize the latent variable healing, identifying underlying constructs. Items assessing a patients' progression towards psycho-social-spiritual healing were generated for potential inclusion in the NIH-HEALS. The NIH Pain and Palliative Care (PPC) Department piloted the preliminary questionnaire items. Exploratory Factor Analysis (EFA) technique was used to identify scales and item groupings. Results: A data reduction technique using principal component analysis resulted in a four-factor model: Religion, Spirituality, Intrapersonal and External relationships, sanctioning results of the qualitative inquiry completed prior to the EFA; items were deleted, revised, or retained. Conclusion: The need for a measure to assess psychosocial spiritual healing in a single instrument is of extreme importance in both research and in clinical practice. Continued research on the HEALS will explore content validity, include more item reduction, and establish psychometric properties.