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Documents |
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THIS BOOK BELONGS TO
___________________________________
Vision Workbook
BIOGRAPHY
THE STORY OF MY LIFEMy name is __________________________ I like to be called ____________My birthday is _________________ I am _____ years old This is a brief story about my life including information about where I have
lived gone to school and worked It tells about family and friends It describes what is important to me- what is special about me what I like about myself what I like to do what I donrsquot like to do what is best what I want my life to be like
The biography can be written in order to give a total view of an individual It should give a picture of who the person is and not just be a social history Initials can indicate information that is contributed by others The Biography does not have to be rewritten every year Important information from the year can be added to it such as if the personrsquos plan for the future has changed Please include a current picture of the person
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important to Me
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important for Me
VISION FOR THE FUTURE
1048713 Making more money1048713 A full-time job1048713 A part-time job1048713 Making new friends1048713 Having more or less time with my
family1048713 Attending church synagogue
temple mosque other congregation
1048713 Living in a home of my choosing1048713 Going back to school1048713 Writing an article1048713 Cooking1048713 Taking dance lessons1048713 Other __________________________
1048713 Meeting people who want to date1048713 Getting Married1048713 Driving1048713 Owning my own vehicle1048713 Moving to a new area1048713 Going on a dream vacation1048713 Being able to go new places1048713 Doing new things with my friends1048713 Meeting new people1048713 Learning new skills1048713 Making or attending art classes1048713 Joining a gym or the YMCA
Check those things that are most important for your future
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
BIOGRAPHY
THE STORY OF MY LIFEMy name is __________________________ I like to be called ____________My birthday is _________________ I am _____ years old This is a brief story about my life including information about where I have
lived gone to school and worked It tells about family and friends It describes what is important to me- what is special about me what I like about myself what I like to do what I donrsquot like to do what is best what I want my life to be like
The biography can be written in order to give a total view of an individual It should give a picture of who the person is and not just be a social history Initials can indicate information that is contributed by others The Biography does not have to be rewritten every year Important information from the year can be added to it such as if the personrsquos plan for the future has changed Please include a current picture of the person
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important to Me
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important for Me
VISION FOR THE FUTURE
1048713 Making more money1048713 A full-time job1048713 A part-time job1048713 Making new friends1048713 Having more or less time with my
family1048713 Attending church synagogue
temple mosque other congregation
1048713 Living in a home of my choosing1048713 Going back to school1048713 Writing an article1048713 Cooking1048713 Taking dance lessons1048713 Other __________________________
1048713 Meeting people who want to date1048713 Getting Married1048713 Driving1048713 Owning my own vehicle1048713 Moving to a new area1048713 Going on a dream vacation1048713 Being able to go new places1048713 Doing new things with my friends1048713 Meeting new people1048713 Learning new skills1048713 Making or attending art classes1048713 Joining a gym or the YMCA
Check those things that are most important for your future
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important to Me
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important for Me
VISION FOR THE FUTURE
1048713 Making more money1048713 A full-time job1048713 A part-time job1048713 Making new friends1048713 Having more or less time with my
family1048713 Attending church synagogue
temple mosque other congregation
1048713 Living in a home of my choosing1048713 Going back to school1048713 Writing an article1048713 Cooking1048713 Taking dance lessons1048713 Other __________________________
1048713 Meeting people who want to date1048713 Getting Married1048713 Driving1048713 Owning my own vehicle1048713 Moving to a new area1048713 Going on a dream vacation1048713 Being able to go new places1048713 Doing new things with my friends1048713 Meeting new people1048713 Learning new skills1048713 Making or attending art classes1048713 Joining a gym or the YMCA
Check those things that are most important for your future
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
3 THINGS I WANT TO HAVE IN MY LIFE
1 __________________________________________
2 __________________________________________
3 __________________________________________
Whatrsquos Most Important for Me
VISION FOR THE FUTURE
1048713 Making more money1048713 A full-time job1048713 A part-time job1048713 Making new friends1048713 Having more or less time with my
family1048713 Attending church synagogue
temple mosque other congregation
1048713 Living in a home of my choosing1048713 Going back to school1048713 Writing an article1048713 Cooking1048713 Taking dance lessons1048713 Other __________________________
1048713 Meeting people who want to date1048713 Getting Married1048713 Driving1048713 Owning my own vehicle1048713 Moving to a new area1048713 Going on a dream vacation1048713 Being able to go new places1048713 Doing new things with my friends1048713 Meeting new people1048713 Learning new skills1048713 Making or attending art classes1048713 Joining a gym or the YMCA
Check those things that are most important for your future
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
VISION FOR THE FUTURE
1048713 Making more money1048713 A full-time job1048713 A part-time job1048713 Making new friends1048713 Having more or less time with my
family1048713 Attending church synagogue
temple mosque other congregation
1048713 Living in a home of my choosing1048713 Going back to school1048713 Writing an article1048713 Cooking1048713 Taking dance lessons1048713 Other __________________________
1048713 Meeting people who want to date1048713 Getting Married1048713 Driving1048713 Owning my own vehicle1048713 Moving to a new area1048713 Going on a dream vacation1048713 Being able to go new places1048713 Doing new things with my friends1048713 Meeting new people1048713 Learning new skills1048713 Making or attending art classes1048713 Joining a gym or the YMCA
Check those things that are most important for your future
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
1 __________________________________________
2 __________________________________________
3 __________________________________________
I envision that one day I willhellip
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
Circle the options that best fit the type of home you want to live inCircle the options that best fit the type of home you want to live in
In a townAloneRent Apartment building With petsNear public
transportationNear doctorhospital
In a country settingWith other peopleOwn a homeHouseNo pets Public transportation is
not importantClose to ____________
I want to livehellip
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
HOME AND NEIGHBORHOOD
Where do you live now________________________________________
What do you like about where you live now
(Some suggestions are to include what you like about the people you live with the location the accessibility and anything else you think is important)
________________________________________________________
What donrsquot you like about where you live now________________________________________________________
Do you want to make any changes about where you live (Include things you do not like about your home and what you might like tochange If you would like to move include what type of place you would want tomove to and people you might like to live with)________________________________________________________
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
HOME AND NEIGHBORHOOD
What kind of help (people assistive devices accessibility transportation) do you need to live in your own home (Include who is responsible for providing these supports)
________________________________________________________________________________________________________________
Is there any other kind of help you would like or need in your home________________________________________________________________________________________________________________Note Using this information discuss the strategies andor supports
that will be needed and who will be responsible Include this information in the StrategySupport section of the plan
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
Think about
Paid Work
School Education
Sports
Exercise
Volunteer Work
Art
Religion Spirituality
What I want to do during the day is
1____________________________________________________________
2____________________________________________________________
3 ___________________________________________________________
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
What do you want to do for fun
Yoga
Travel
Make art
Learn to do something
Cook
Garden
Political action
Go on dates
Computer
Make friends
In my free time I want tohellip
1 ____________________________
2____________________________
3____________________________
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
Five Greatest Accomplishments Think about your accomplishments in life What are the
best ones Describe them in the spaces below (ie accomplishments at home school work community with friends family and community members)
12345
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
What I want to change in my life
1 ____________________________
2____________________________
3____________________________
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
What I want to keep the same
1 ____________________________
2____________________________
3____________________________
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
HOW I REACT TO THINGS
1 The thing that makes me laugh the most ishellip2 I get most excited whenhellip3 I am bored whenhellip4 I get frustrated whenhellip5 I am the most comfortable whenhellip6 I get angry whenhellip7 I become very interested and alert whenhellip8 The thing that makes me sad ishellip9 What I like most about people who help me ishellip
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
What is a Goal
A GOAL IS DETERMINED BY ldquoYOUrdquo THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING amp INFORMATION
GATHERING
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
What is a Goal
A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH ldquoYOUrdquo
A GOAL IS NOT A SERVICE PROCESS PROGRAM OR SKILL A GOAL IS WHAT ldquoYOUrdquo COULD BE
OR HAVE OR BE DOING
IF ldquoYOUrdquo HAD THAT SKILL OR SUPPORT OR SERVICE
MY GOAL
MY GOAL