1. (Put a picture here of yourself)

2. My name is ……………………………………………………………. I like to be called My birthday is …………………………………………………….

3. RELATIONSHIP CIRCLE

4. HOME THIS IS WHERE I LIVE NOW ( PUT A PHOTO OR DRAWING OF YOUR HOME HERE )

5. HOME THIS IS WHERE I WOULD LIKE TO LIVE ( PUT A PHOTO OR DRAWING OF WHERE YOU WOULD LIKE TO LIVE HERE )

6. THINGS I LIKE FOOD DRINK

7. T.V SHOW FILM VIDEO DVD MUSIC THINGS I LIKE

8. THINGS THAT MAKE ME HAPPY

9. THINGS THAT MAKE ME SAD OR ANGRY

10. MY WEEK DURING THE DAY IN THE EVENING

11. Sunday MY WEEKEND

12. HOBBIES THINGS I DO OR WOULD LIKE TO DO

14. DREAMS

15. MY WEEKEND Saturday

16. N I G H T M A R E S

17. Guidance notes for helping someone fill out this booklet Please note this booklet is not a person centred plan, it is however a tool, designed to help gather information as part of the planning process. ( a little plan in the making!) Hopefully it will get people thinking about their lives and what they want for themselves. It may also bring to light any issues in their lives that people feel they want to look at in more depth, thus flagging up the need for more planning to be done with that person if this is their wish. The booklet can be completed in key work times, people can work on them individually, with one to ones or as a group, staff could also complete their own booklets to use as examples? The booklets are for people to complete in anyway they so wish, this could involve photos, magazine pictures, symbols or drawings. The emphasis is on making it individual to that person, using forms of communication that are appropriate to them. I appreciate that we are all busy and this is yet another thing we have to do!!! However you might even find it useful and dare I say it an enjoyable experience? And just think, when it comes to reviews you’ll have gathered a lot of the information already!

18. The relationship circle This could be filled with either names or photo, it could even contain Pop stars, T.V characters or people who have passed away. Dreams This can be absolutely anything, from getting married to flying a plane. The importance is in the fact that we all have and need dreams, this gives us something to aim for, I might never be able to fly a plane, but I could maybe have a go in a flight simulator or have a look around a cockpit? Nightmares This could be something as simple as being afraid of spiders to feeling lonely or having a fear of dying. If we talk about the things that frighten us then we can begin to understand them and cope with them. Please feel free to add your own sections to this booklet, maybe the person would like a section about how they communicate? Any qualifications or work experience they might have? If you’ve got any questions regarding the booklets or Person Centred Planning please feel free to ask….. Donna