Your life. Your plan.
My visit plan
Write, draw or ask someone to help. You can leave questions blank. Keep your completed plan private and share only what you choose.
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.
Who I want to visit
Who is the person? Do they want a visit? What would they like us to do together?
Where and when
Write the place, date, time and room or ward. Who can I contact before I go?
Getting there and home
How will I travel? What will it cost? Who will come with me or meet me?
Help I need
Think about clear directions, communication, stairs or ramps, toilets, noise and somewhere to rest. What have staff agreed?
What to expect and bring
What would I like staff to explain? What does the person want me to bring? Check food, drinks or gifts first.
If plans change or I need a break
Who can I contact if I am unwell, delayed or upset? Where can I take a break?
After the visit
Who can I talk to about my feelings? How does the person want to keep in touch next?