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