Individual Preference and Satisfaction Inventory Form

* = Required Information

Individual Preference and Satisfaction Inventory

Individual *

Date *

What has been especially great for you in the past year/reporting period? *

Do you have any special relationships?

Do you feel that those relationships are supported by your staff and team? *

What are your hobbies and interests? *

What are your favorite things to do? *

How often do you get the opportunity to do those things? *

Is there an activity or a skill that you would like to learn? *

Do you get along with the people you live with? *

Do you feel safe in your home? *

Do you feel that staff treats you with dignity and respect? *

What other goals would you like to work on? *

Completed by *