Your life. Your plan.
My keyworker and DSR meeting — worksheet
Write or draw your questions. Someone you choose can help. Keep completed notes private.
You can type your answers below. You can leave any box blank.
Your answers stay in this open browser tab. Clearer does not receive them.
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 matters to me
My goals, things I enjoy and what I want to change.
My keyworker and contacts
Who helps me? How do I contact them? Who helps out of hours?
My DSR rating
What does it mean? When will it be checked?
My plan and actions
What must happen, who will do it and by when?
My choices and information
What do I want explained? Who do I want involved?
If things change
What if I need more help, disagree or leave the service?