Building Bridges / Original planning sheet

What helps me

Complete together, using the person’s preferred way of communicating. Their own words and choices come first.

Date (optional): ____________________ Conversation with: ____________________

What I want you to know about me

How I prefer to communicate a choice, question or request for help

Things I enjoy or choose; things I would rather avoid

How I would like to ask for a pause or change of plan

What I agree can be shared, and with whom

A blank communication and organization tool—not an assessment or treatment plan. Use only the sections the person wants to share. Keep completed copies in your own secure files.