Your life. Your plan.
What people write about me
Use the prompts that are helpful to you. You can write, draw, or ask someone to record your own words.
You can type your answers below. You can leave any box blank.
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Download your answers to keep a copy. Closing or reloading this page removes the answers from the page.
Choose who you share your completed copy with. On a shared device, clear your answers when you finish.
Your printout may use more than one page. Choose Larger text for bigger writing.
What is written about me?
Ask what notes are kept, why, where they are stored and who writes them.
Time for notes and support
Ask what your support hours include. Record examples of time spent writing and any help or activities delayed or missed. What needs to change?
How I want to be involved
How and when should staff ask for your views? What communication support helps?
Reading and understanding notes
How would you like notes explained? Who, if anyone, do you want to help?
Who can see my information?
Ask which people and organisations have access and why. Record your sharing preferences.
Something I want put right
Record the date, entry, concern, your account and what change you are asking for.
Our agreement and review
Who will act, what will they do, by when, and when will you check whether it helped?