When a person has multiple extreme scores, it generally means that the person has many areas in which there are very strong or intense Needs.
This can become difficult for the person if the expectation is that all Needs will be met in one environment. No one environment will likely satisfy all the Needs of a person.
When there are multiple extreme scores, it is important for the person to have a self-awareness about their Needs and which Needs will be met in which environment. Most likely, some Needs will not be met, and the self-awareness becomes even more important. To recharge and feel supported by their environment, the person will need to be proactive in finding ways to meet their intense (extreme) Needs.