Independent Living Goals Area Form

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1. Please Check all items that you need more information or Assistance with.

From the Items that you checked in #1-15, Pick the three which are most important to you right now.

a.
b.
c.

1. Socialization Skills

a. Self-esteem/Self-imageb. Communication Skillsc. Goal Settingd. Problem Solving

2. Health Care Issues
a. Personal Careb. Personal Care Management Trainingc. Medical Needs and Emergency Proceduresd. Substance Abuse

3. Homemaking
a. Home Management/Maintenanceb. Laundry Resourcesc. Accessing Resourcesd. Adaptive Equipment

4. Housing
a. Accessible Housingb. Housing Optionsc. Subsidized Housing Optionsd. Tenant Rights/Responsibilities

5. Transportation
a. Adaptive Equipmentb. Community Transportationi. Publicii. Privatec. Drivers Education Options

6. Financial Management
a. Handling Moneyb. Budgetingc. Bankingi. Checkingii. Savingd. Insurance Coveragee. Financial Benefits Assistance Options

7. Cooking
a. Nutritionb. Meal Planningc. Comparison Shoppingd. Food Preparation/Storagee. Kitchen Safetyf. Adaptive Equipment

8. Sexuality
a. Myths, Attitudes, and Rightsb. Fears and Feelingsc. Community Resources

9. Community Resources
a. Available Resourcesb. Accessing Resources

10. Employment
a. Preparation for Employmenti. Career Planningii. Benefits Counselingiii. Work Incentive Planningb. Job Seekingi. Interview Skillsii Form Completioniii. Employment Resources/Optionsiv. Accessing Resourcesv. Employment Laws and the ADA1. Rights and Responsibilities2. Reasonable Accommodationsc. Job Keepingi. Work Behaviorii. Problem Solving

11. Post-Secondary EducationIdentifying Post-Secondary Programs of Interest
i. Career Planningii. Visiting Post- Secondary Programsiii. Study and Organizational Skillsiv. College Survival Skillsv. Financial Resources/Optionsvi. Forms Completionvii. Educational Accommodationsviii. Accessing Post-Secondary Resources

12. Recreation and Leisure
a. Identification of Leisure Interestsb. Developing Leisure Skillsc. Location Community Recreation Opportunitiesd. Accessing Community Recreation Opportunitiese. Adaptive Equipment

13. Advocacy
a. Developing Advocacy Skillsb. Advocating Resources/ Optionsc. Advocating for Yourselfd. Advocating for Disability Issuesi. Localii. Stateiii. National

14. Disability Awareness
a. Self Awarenessb. Educating Othersc. Disability Awareness and the Communityd. Accessing Resources

15. Safety
a. Community Safetyb. Home Safetyc. Personal Safetyd. Computer/Internet Safety

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