Support Plan. Name:. My Support Plan. My Personal Infor

My Support Plan
My Personal Information
Name
: Tom Dyson
Plan
Date:9/9/1
9
Addres
s:
43a Pritchard Lane, Golden Gully
Review
Date:9/9/2
0
Date of Birth:
18/11/94
Who was involved in setting the
plan?
Who prepared and coordinated the
plan?
My current Personal and Living Situation
Where do I currently Live?
I live in my home
Who do I live with?
I live with my parents, younger and old brother.
Day to Day Living
What do I like to do during the week?
I like to get involved in several activities in communities like several activities in schools,
with friends, sport and several activities.
What do I like to do on the Weekends?
On weekends I like to spend most of the time in home by watching T.V.

Support Plan
Name:

Support Plan
Name:
My Day Programs:
Monday Tuesday Wednesday Thursday Friday
AM
NOO
N
PM
NOTES: