Background Information
Name
Date of Birth
Address
Mobile Phone Number
Home Phone Number
What School did You go to?
What College did You go to?
What qualifications do you have?
What qualifications are you working towards?
Positivity Post-it
Which of the word below best describe you?
Friendly Kind Caring Strong Trustworthy Reliable Motivated
Can you think of any other positive words which describe you? Which positive words do you think your friends, teachers or class mates would use to describe you?
Write these words on the post-it notes below Practise saying them to yourself. How does it make you feel?
Emotion Tracking Activity
How are you doing? How are things going in your life?
Please make a mark on the scale to let us know. The closer to the smiley face, the better things are. The closer to the frowny face, things are not so good ME
( How am I doing? )
FAMILY
( How are things in the family? )
COLLEGE
( How am I doing at College? )
EVERYTHING
( How is everything going? )
About ME
What is your first language? Do you use any other languages?
Tick the things you use
A desktop computer
An iPad or tablet Mobile phone A laptop
Do you use words to speak?
Do you use signs?
Do you use an electronic communicator?
Do other people support you to communicate?
More About Me
Can you read? Do you read?
Do you use symbols?
Do you use pictures to communicate?
Is there any other ways you use to communicate?
What I Enjoy
What are your interests and hobbies?
What do you enjoy during the week?
What do you enjoy during the weekend?
Do you prefer being indoors or outdoors?
More About Me
Are there things outside that you don’t enjoy or don’t like?
Do you prefer spending time with lots of people or just a few people?
Are you an early morning person or are you better later in the day?
I May Need Support With
Do you take any medication?
Do you have any behaviours that people need to be aware of? If so, what triggers these?
Do you have any difficulty with:
Standing for a long time
Tick all that apply
Sitting for a long time
Walking Lifting Using your hands
Anything else?
I May Need Support With
Do you have any difficulty with:
Allergies
Tick all that apply
Being in crowded places Sight
Hearing Taste Touch Smells
Anything else to add?
What needs to be in place to keep you healthy and safe?
What equipment do you need to use for support?
How do you like to learn?
Important Aspects in My Life
Diet:
Clothing:
Festivals and Holidays:
Religious Observations:
Anything Else?
How I Travel
What ways of travel do you use?
Have you had any support to travel independently as possible? Bicycle Walking
Tick all that apply
Any more details? Train Other
Anything you may need to add?
Money and Time
What ways of using money do you use?
Online Banking Cash
Any further details about money?
How Do You Tell The Time?
Tick all that apply
Cash Point
PrePaid Card
Other
Tick all that apply
Other people make sure you know the time and get where you need to be
You understand the 24 hour way of telling the time
You use your phone to tell the time
You use a watch
You understand the 12 hour way of telling the time
Is there any other support you use or need to tell the time?
Job Planning
What jobs do people you know do?
Have you visited a workplace?
What did you enjoy? What did you find out?
Have you done work experience?
If yes, how did you find it?
Yes
Planning Your Future
Do you have a C.V?
Would you like a mock Interview?
Yes
Have you thought about what kind of job you would like to do? What ideas do you have?
You may be thinking about being self employed. Here are some kinds of things people do when working for themselves; tick ones that interest you
Recycling No
My other ideas are: Dog Walking Performing Arts
Training others about disability Selling jewellery and accessories
Doing cosmetic parties
Planning Your Future
Have you done any volunteering? If so where was it?
What worked and what didnt work about the volunteering?
Have you done a Supported Internship? Tell us more
Have you done any paid Work? Tell us more about it, if yes
If you have done any of the above, what support did you get or need?
My Dream Job
Have you ever thought about your dream job?
You may have more than one idea, lets share your ideas:
My dream job would be:
I would like this job because...
What help may you need?
1.
Questions For My Support Teacher
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Questions For My Parents/Carers
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