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This Book belongs to
MY VOICE, MY CHOICE
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A Competency Building Workbook
My Voice, My Choice is a project that helps you get to know yourself better, and for others to get to
know you better.
Self-Determination is the ability of individuals to make choices that allow them to exercise control
over their own lives, to achieve the goals to which they aspire and to acquire the skills and resources
to participate fully and meaningful in society. (Adapted from National Center on Self-Determination)
Self-determination is about:
Freedom
Authority
Support
Responsibility
Self-determination means being able to plan your own life. Self-determination means that a person
makes his or her own decisions. You plan your own future. You take responsibility for the decisions
you make. Self-determination will change the service delivery system.
Some of the ideas presented in this workbook are from “Speaking for Myself”, which was a project funded through a grant from the Illinois Council on Developmental Disabilities.
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If you would like more information about
My Voice, My Choice workbook,
please contact:
Jen Duggan
Director of Advocacy & Community Services
P.O. Box 1368
Scranton, PA 18501
Toll Free at 1-877-315-6855
www.theadvocacyalliance.org
The information from this workbook may be reproduced,
but you must credit the Advocacy Alliance.
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This is who I live with
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This is who I want to live with
Put in same picture or a different picture.
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My favorite color is:
Circle your favorite color.
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Things I like to do when
I am home
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Foods I like
Foods I don’t like
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Important People in My Life
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Places I Have Lived
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My birthday is
On my birthday I like to
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Vacations I have taken
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During the Day I go to
And I leave home at
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This is where I spend most of my day
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This is where I want to spend most of my day
Put in same picture or a different picture.
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Here I am doing
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I work at
The names of my co-workers are
WORK
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These are the days that I work
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
I start work at
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My favorite activity to do at work is
My least favorite activity to do at work is
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I would like to work at
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When I am working I like to
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I am afraid of
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I feel about being sick.
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Some new things I would like
to learn are:
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What makes me sad?
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What makes me happy?
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Movies I Like:
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Music I enjoy:
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My favorite books are:
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Sports I enjoy:
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My favorite animal is
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My Favorite Season is
Because
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My Favorite Holiday is
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Someday I would like to go
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MONEY
Some of us take care of our own money and do our own
banking. Some of us have staff or family do this. What does it
mean to have control over your money? First, you decide if
you need help to handle your money. It means that a person
will help you to budget your money and to help pay your bills.
They may help write out checks and go to the bank.
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Someone helps me manage my
money now. (Circle your answer)
Yes No I’m not sure.
The name of my bank is:
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Here are some people who could help
me manage my money
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Here are some things I spend money on now
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This is something I would like
to buy with my money
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Person Centered Planning
is a process that can help my staff
and my family listen to me. It is a
way that I can be a part of planning
my future.
I can speak for myself.
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Below are some names of people and maybe a
picture or two of who helps me plan things
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Here are some people I would like to
help me plan my future
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FRIENDSHIPS
Here are some friends that help and support me
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I want more
friends
I do not want
more friends
Some things I can do to get more friends are
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Some places I can go to meet new people
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Health Care I have the right to make decisions about my health care.
Health Care includes things like:
Going to the doctor
Going to the hospital
Medical treatment
Medications
Services from a nurse
I have the right to be given information about my body and treatment
options. I need to know the good things and bad things that could happen
to me because of the choices that I make. I also have the right to ask
someone to help me make decisions about my health care. I might need
help because I was not able to communicate (because my voice did not
work, my communication board was broken, or my hands hurt so I could
not use sign language.)
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Some people that I would like to help
me make health care decisions are
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MY WILL
All people have things that belong to them. Some things are valuable
and some things are not. Some things are just special to me.
All people will die one day. I have thought about what I want to give
to people when I die. I have thought about to whom I want to give my
possessions when I die. These decisions are called my Will.
Many adults have a Will. People have a Will so that things that are
meaningful to them are given to people they care about. I can make a
Will so that I can say what will happen to my money and things when
I die.
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Here are some things that I can leave to someone
else in my Will
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Here are the people I want to leave
my valuables to:
A Will is a legal document and you
should ask an attorney to help you
prepare a Will.