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My Choices Worksheets

My Choices Worksheets

Below we have provided you with a series of worksheets in digital form using MS Word or as PDFs to document your choices. Be sure to keep your personal information and your financial details, usernames and passwords secure. Do not share private information.

 

Worksheets
 

Click here to download a PDF of the complete Worksheet series now!

Click here to download a Word Document of the complete Worksheet series now!
 
The worksheets are a resource to collate your information. Each worksheet has instructions on how to complete it. The My Choices book has more information to guide completion of each worksheet. You can use as many copies as you need of each worksheet and complete as much of each sheet as is relevant to your situation. Some worksheets may have no relevance to you at all. Record as much or as little as you want on the worksheets. You should review and update your document as your preferences change. The choice always remains yours.
 

Some of the larger worksheets have been broken into smaller sections so you can download the sections that are relevant to you.

Section 1

1.1 My Personal Contacts (Word Document)

1.1 My Personal Contacts (PDF)

 

Section 2

2.1A My Identity Records (Word Document)

2.1A My Identity Records (PDF)

2.1B My Entitlements Records (Word Document)

2.1B MY Entitlements Records (PDF)

2.2 My Digital Identity (Word Document)

2.2 My Digital Identity (PDF)

2.3A My Financial Assets (Word Document)

2.3A My Financial Assets (PDF)

2.3B My Other Assets (Word Document)

2.3B My Other Assets (PDF)

2.4 My Debts and My Bills (Word Document)

2.4 My Debts and My Bills (PDF)

 

Section 3

3 Private & Confidential Details Form (Word Document)

3 Private & Confidential Details Form (PDF)

3.1 My Allergies or Sensitivities (Word Document)

3.1 My Allergies or Sensitivities (PDF)

3.1 My Family Medical History (Word Document)

3.1 My Family Medical History (PDF)

3.1 My Immunisation History (Word Document)

3.1 My Immunisation History (PDF)

3.1 My Medical History Body Chart (Word Document)

3.1 My Medical History Body Chart (PDF)

3.1 My Screening and Diagnostic Test Checklist (Word Document)

3.1 My Screening and Diagnostic Test Checklist (PDF)

3.1  My Significant Health and Hospitalisation History (Word Document)

3.1  My Significant Health and Hospitalisation History (PDF)

3.2  My Current Medications (Word Document)

3.2  My Current Medications (PDF)

3.3  My Current Health Issues (Word Document)

3.3  My Current Health Issues (PDF)

3.3  My Upcoming Appointments (Word Document)

3.3  My Upcoming Appointments (PDF)

3.4  My Equipment and Aids (Word Document)

3.4  My Equipment and Aids (PDF)

3.5  My Emergency Plans and Preparations (Word Document)

3.5  My Emergency Plans and Preparations (PDF)

Section 4

4.1  Choosing My Support Workers (Word Document)

4.1  Choosing My Support Workers (PDF)

4.2  About Me (Word Document)

4.2  About Me (PDF)

4.2  My Culture (Word Document)

4.2  My Culture (PDF)

4.2  My Home (Word Document)

4.2  My Home (PDF)

4.2  My Important Connections (Word Document)

4.2  My Important Connections (PDF)

4.2  My Interests and Activities (Word Document)

4.2  My Interests and Activities (PDF)

4.2  My Occasional Connections (Word Document)

4.2  My Occasional Connections (PDF)

4.2  My Pets (Word Document)

4.2  My Pets (PDF)

4.2  My Places of Connection (Word Document)

4.2  My Places of Connection (PDF)

4.2  My Story (Word Document)

4.2  My Story (PDF)

4.2  My Support People (Word Document)

4.2  My Support People (PDF)

4.2  My Support (Word Document)

4.2  My Support (PDF)

4.3  My Routines (Word Document)

4.3  My Routines (PDF)

4.4  My Environment (Word Document)

4.4  My Environment (PDF)

4.5  My Personal Care (Word Document)

4.5  My Personal Care (PDF)

4.6  My Home Support (Word Document)

4.6  My Home Support (PDF)

4.7  My Food Allergies (Word Document)

4.7  My Food Allergies (PDF)

4.7  My Nutritional Support (Word Document)

4.7  My Nutritional Support (PDF)

4.8  My Spiritual Support (Word Document)

4.8  My Spiritual Support (PDF)

 

Section 5

5.1 My Dying Wishes (Word Document)

5.1 My Dying Wishes (PDF)

5.2A My Information (Word Document)

5.2A My Information (PDF)

5.2B My Information (Word Document)

5.2B My Information (PDF)

5.3 My Funeral and My Remembrances (Word Document)

5.3 My Funeral and My Remembrances (PDF)


 

Feedback Form 

My Choices Feedback Form (Word Document)

My Choices Feedback Form (PDF)

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