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Choice and Risk Self-Assessment Worksheet

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?

 

 

Can You Improve Choice Opportunities for This Individual?
What can you do to improve this individual's choice making opportunities? Who will do it? By When?

 

 

   

 

 

   

 

 

   

 

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 the individual?

 

What can you do to lower these risks?

 

Do you need help? From whom?

 

 

Can You Improve Risk Management for This Individual?
What could be done to improve risk management? Who will do it? By When?

 

 

   

 

 

   

 

 

   

 

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