1. THIS BOOK BELONGS TO: ___________________________________ Vision Workbook

2. BIOGRAPHY THE STORY OF MY LIFE My name is __________________________. I like to be called ____________. My birthday is _________________. I am _____ years old. *This is a brief story about my life including information about where I have lived, gone to school and worked. It tells about family and friends. It describes what is important to me- what is special about me; what I like about myself; what I like to do; what I don’t like to do; what is best; what I want my life to be like.* The biography can be written in order to give a total view of an individual. It should give a picture of who the person is and not just be a social history. Initials can indicate information that is contributed by others. The Biography does not have to be rewritten every year. Important information from the year can be added to it, such as if the person’s plan for the future has changed. Please include a current picture of the person.

3. 3 THINGS I WANT TO HAVE IN MY LIFE: 1. __________________________________________ 2. __________________________________________ 3. __________________________________________ What’s Most Important to Me

4. 3 THINGS I WANT TO HAVE IN MY LIFE: 1. __________________________________________ 2. __________________________________________ 3. __________________________________________ What’s Most Important for Me

5. VISION FOR THE FUTURE Making more money A full-time job A part-time job Making new friends Having more or less time with my family Attending church/ synagogue/ temple/ mosque/ other congregation Living in a home of my choosing Going back to school Writing an article Cooking Taking dance lessons Other: __________________________ Meeting people who want to date Getting Married Driving Owning my own vehicle Moving to a new area Going on a dream vacation Being able to go new places Doing new things with my friends Meeting new people Learning new skills Making or attending art classes Joining a gym or the YMCA Check those things that are most important for your future.

6. 1. __________________________________________ 2. __________________________________________ 3. __________________________________________ I envision that one day I will….

7. Circle the options that best fit the type of home you want to live in. In a town Alone Rent Apartment building With pets Near public transportation Near doctor/hospital In a country setting With other people Own a home House No pets Public transportation is not important Close to ____________ I want to live…

8. HOME AND NEIGHBORHOOD Where do you live now?________________________________________ What do you like about where you live now? (Some suggestions are to include what you like about the people you live with, the location, the accessibility, and anything else you think is important.) ________________________________________________________ What don’t you like about where you live now? ________________________________________________________ Do you want to make any changes about where you live? (Include things you do not like about your home and what you might like to change. If you would like to move, include what type of place you would want to move to and people you might like to live with.) ________________________________________________________

9. HOME AND NEIGHBORHOOD What kind of help (people, assistive devices, accessibility, transportation) do you need to live in your own home? (Include who is responsible for providing these supports.) ________________________________________________________ Is there any other kind of help you would like or need in your home? ________________________________________________________ Note: Using this information, discuss the strategies and/or supports that will be needed and who will be responsible. Include this information in the Strategy/Support section of the plan.

10. Think about: Paid Work School, Education Sports Exercise Volunteer Work Art Religion, Spirituality What I want to do during the day is: 1.______________________________ ______________________________ 2.______________________________ ______________________________ 3. _____________________________ ______________________________

11. What do you want to do for fun? Yoga Travel Make art Learn to do something Cook Garden Political action Go on dates Computer Make friends In my free time I want to….. 1. ____________________________ 2.____________________________ 3.____________________________

12. Five Greatest Accomplishments Think about your accomplishments in life. What are the best ones? Describe them in the spaces below (i.e., accomplishments at home, school, work, community, with friends, family, and community members). 1. 2. 3. 4. 5.

13. What I want to change in my life. 1. ____________________________ 2.____________________________ 3.____________________________

14. What I want to keep the same. 1. ____________________________ 2.____________________________ 3.____________________________

15. HOW I REACT TO THINGS 1. The thing that makes me laugh the most is… 2. I get most excited when… 3. I am bored when… 4. I get frustrated when… 5. I am the most comfortable when… 6. I get angry when… 7. I become very interested and alert when… 8. The thing that makes me sad is… 9. What I like most about people who help me is…

16. What is a Goal? A GOAL IS DETERMINED BY “YOU” THE INDIVIDUAL A GOAL IS SPECIFIC AND STANDS ALONE A GOAL IS NOT A CONTINUATION OR MAINTENANCE A GOAL IS A RESULT OF DELVING & INFORMATION GATHERING

17. What is a Goal? A GOAL IS AN INTENDED RESULT FROM A PERSONAL INTERVIEW WITH “YOU” A GOAL IS NOT A SERVICE, PROCESS, PROGRAM, OR SKILL A GOAL IS WHAT “YOU” COULD BE,  OR HAVE,  OR BE DOING IF “YOU” HAD THAT SKILL,  OR SUPPORT,  OR SERVICE

18. MY GOAL