Basic Information:

How old is your daughter or son?
 (Please provide their current age.)

How did you hear about our program or services?
 (Referral, school, social media, friend, agency, etc.)

Understanding & Expectations:

What is your understanding of person-centered planning?
 (What does it mean to you, or what have you heard about it?)

What do you know about the Self-Determination Program?
 (Any experience or questions you’d like to share?)

What are you hoping to gain from this planning process?
 (Goals, Dreams, Needed Resources of support, etc.)

Personal Interests & Strengths:

What are some of your child’s interests, talents, and hobbies?

What makes your child happy, motivated, or excited?

What are your child’s strengths or things they do well?

Supports & Services:

What types of support does your child currently receive?
 (Examples: Regional Center, school services, therapy, IHSS, etc.)

Are there any challenges your child currently faces that you'd like help with?
 (Behavior, communication, social skills, routines, etc.)

Vision for the Future:

What are your child’s goals or dreams for the future?
 (School, work, living situation, relationships, independence, etc.)

What are your hopes for your loved one in the next 1–3 years?

Are there any cultural, spiritual, or family values we should consider in the planning process?

Communication & Preferences:

How does your child communicate best?
 (Verbal, nonverbal, AAC Augmentative Communication Device, AAC,  gestures, etc.)

Are there any important routines, sensory preferences, or behavioral supports we should be aware of?