Your life. Your plan.
Helping each other speak up
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.
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What I want help with
Write or draw one thing you want to understand, say or change.
How I want us to communicate
Note useful pictures, devices, signing, breaks and places to meet.
What my advocate may do
Agree tasks and contacts. Note what you want to do yourself.
Information and privacy
Agree what may be shared, with whom, and the safety limits. Do not write private case details here.
Practical arrangements
Check meeting times, costs, access support and who helps if someone is away.
Other advocacy or advice I need
Ask about statutory advocacy, specialist advice and any deadlines.
Review and concerns
Choose a review date. Note who you can contact to change the support or raise a concern.