Participant Goals

Participant Details

First Name *

Last Name *

Worker's Name *

1. Reflection

In reflection, what support has been the most helpful?

Do you feel more confident in the following areas? Select applicable areas

Social Interaction - with others and in the community Self care - looking after health and general care of health needsSelf management eg with money management, housing, medication management, attending appointments etcLearning - ability to learn basis tasksCommunication - effective communication and interactions with othersMobility - getting around the home and the community

Select areas of future growth

2. Goals

Goals are designed to create a plan about what we would like to achieve in life and can assist us with motivation and focus. Reminder: Review goals within NDIS plan to work out focus of your goals

Goal 1 - What goal would you like to focus on?

What steps do you think you can take to achieve this goal?

Progress of current goals and any goals completed

Goal 2 - What goal would you like to focus on?

What steps do you think you can take to achieve this goal?

Progress of current goals and any goals completed

Goal 3 - What goal would you like to focus on?

Progress of current goals and any goals completed

What steps do you think you can take to achieve this goal?

Do you have any interest or passions in the following areas that you would like to develop:

ArtMusic Photography PotteryDance Exercise/Healthy living Learning with others Other

If other, please indicate

Participant Signature *

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Worker Signature *

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Date *

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