CONSUMER CHOICE PROJECT

	SKILLS CHECKLIST


PART I:

From your observations and what you know at this point in time, please rate the individual's skills and abilities in the areas below using the following scale:

1			2			3			4			5	

low ability				average ability				high ability



1.	The person's ability to recognize their barriers to employment _______

2.	The person's ability to set realistic and firm goals. ________

3.	The person's awareness of the steps necessary to achieve their goals _______ 

4.	The person's ability to understand the factors that can affect a decision _______

5.	The person's ability to prioritize and organize information and ideas _______

6.	The person's ability to understand the consequences of a decision or choice  and 	accept responsiblity for their actions _____

7.	The person's ability to formulate alternative plans/understand options _______

8.	The person's ability to express needs and desires in a clear and direct way ______ 
9.	The person's ability to enlist the support of others _______

10.	The person's ability to find information on community resources _______

11.	The person's ability to negotiate for what is needed _______

12.	The person's ability to formulate a budget and manage money _______

13.	The person's ability to follow through with decisions _______








PART II

As a result of the skills that were developed or increased, how would you rate the consumer in the areas below using the same scale from 1 to 5:


1.	Self-esteem _______

2.	Ambition _______

3.	Responsibility for oneself _______

4.	Sense of belonging/attachment _______

5.	Community connectedness/interdependence _______

6.	Control over one's life _______

7.	High level of expectation for oneself _______


	


revised: 2/15/96



	CONSUMER CHOICE PROJECT

	SKILLS CHECKLIST
	consumer copy

PART I:

From your own point of view, please rate your skills and abilities in the areas below using the following scale:

1			2			3			4			5	

low ability				average ability				high ability



1.	Your ability to recognize the barriers to your becoming employed _______

2.	Your ability to set realistic and firm goals. ________

3.	Your awareness of the steps necessary to achieve your goals _______ 

4.	Your ability to understand the factors that can affect a decision _______

5.	Your ability to prioritize and organize information and ideas _______

6.	Your ability to understand the consequences of a decision or choice  and 	accept responsibility for your actions _____

7.	Your ability to formulate alternative plans/understand options _______

8.	Your ability to express needs and desires in a clear and direct way ______ 

9.	Your ability to enlist the support of others _______

10.	Your ability to find information on community resources _______

11.	Your ability to negotiate for what is needed _______

12.	Your ability to formulate a budget and manage money _______

13.	Your ability to follow through with decisions _______




PART II


As a result of learning skills that are mentioned above, how would you rate yourself in the areas below using the same scale from 1 to 5:


1.	Self-esteem _______

2.	Ambition _______

3.	Responsibility for oneself _______

4.	Sense of belonging/attachment _______

5.	Community connectedness/interdependence _______

6.	Control over one's life _______

7.	High level of expectation for oneself _______


	


revised: 2/15/96
??