Strengths Assessment Form 270808

STRENGTHS – ASSESSMENT

Person’s Name: ______Support Worker: ______Date: ______STRENGTHS ASSESSMENT CURRENT SITUATION: INDIVIDUAL’S DESIRES – ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now?

Updated 270808 Double Sided Document - Page 1 of 11 DAILY LIVING SITUATION

CURRENT SITUATION: INDIVIDUAL’S DESIRES – ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now?

Updated 270808 Double Sided Document - Page 2 of 11 FINANCIAL

CURRENT SITUATION: INDIVIDUAL DESIRES ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL; What’s going on today? What do I want? What have I used in the past/ Updated 270808 Double Sided Document - Page 3 of 11 What’s available now/ VOCATIONAL AND /OR EDUCATIONAL

CURRENT SITUATION: INDIVIDUAL’S DESIRES – ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: Updated 270808 Double Sided Document - Page 4 of 11 What’s going on today? What do I want? What have I used in the past? What’s available now? SOCIAL SUPPORTS

Updated 270808 Double Sided Document - Page 5 of 11 CURRENT SITUATION: INDIVIDUAL DESIRES ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now/ HEALTH

Updated 270808 Double Sided Document - Page 6 of 11 CURRENT SITUATION: INDIVIDUAL’S DESIRES – ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now? LEISURE AND /OR RECREATIONAL SUPPORTS

Updated 270808 Double Sided Document - Page 7 of 11 CURRENT SITUATION: INDIVIDUAL DESIRES ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now/ CULTURAL

Updated 270808 Double Sided Document - Page 8 of 11 CURRENT SITUATION: INDIVIDUAL’S DESIRES – ASPIRATIONS: RESOURCES – PERSONAL/SOCIAL: What’s going on today? What do I want? What have I used in the past? What’s available now? SPIRITUAL

Updated 270808 Double Sided Document - Page 9 of 11 PERSON’S PRIORITIES: What are my priorities?

Updated 270808 Double Sided Document - Page 10 of 11 SUPPORT WORKER COMMENTS: PERSON’S COMMENTS:

Support Worker Signature: ______Person’s Signature: ______Date: ______Date: ______

Updated 270808 Double Sided Document - Page 11 of 11