| What choice-making opportunities does this individual have? |
|---|
| Does this individual have choice opportunities (about activities, exercise, food to eat, clothing to wear, etc.) throughout the day? |
| What are three choices this individual makes regularly? |
| What is the most important life choice this individual has made in the past 3 months? 6 months? Year? |
| Name at least three preferences you know this individual has: |
| How does this individual participate in everyday decisions? |
| Do your training activities include assisting this individual with making choices and decision-making? Describe the activities: |
| Do this individual’s Individual Service Plans or Individual Program Plans include choice and decision-making goals? What kinds of activities do you use to meet these goals? |
| How can you manage risk for this individual? |
|---|
| Name three (3) activities you do with this individual in the home: |
| What risks do these activities present to this individual? |
| What can you do to lower these risks? |
| Do you need help? From whom? |
| Name three (3) activities you do with this individual in the community: |
| What risks do these activities present to this individual? |
| What can you do to lower these risks? |
| Do you need help? From whom? |
| What could be done to improve risk management? | Who will do it? | By When? |
|---|---|---|
Last updated on July 15th, 2010