All About Me
In Lincolnshire
This Booklet helps you know about me, so that we can
communicate together more easily about what I like and need
Hello, my name is:
My birthday is on:
This Booklet is to take with you when you go on a short break activity. It
will help the staff and others around you to understand and get to know
about what you like, dislike and what sort of help you may need.
Remember you only need to share this book with people who are helping
you at the activity, your friends and family might like to see it too.
GETTING TO KNOW ME Page 3
GETTING AROUND Page 7
FUN ACTIVITIES Page 8
COMMUNICATION Page 9
FOOD AND DRINK Page 15
USEFUL TELEPHONE NUMBERS Page 17
What’s Inside
2
My favourite toys, games, activities and interests are:
These are some of the things that fascinate me or I can’t resist:
Getting to know me!
3
This is what I take:
When I take it:
How I take it:
eg. syringe, spoon, in yoghurt
My cultural religious background is:
I have a condition/s called:
What languages I/my family speak:
I need an interpreter
I take medication Yes No
4
Yes
No
These are the people who can give me my medication:
I also take emergency medication for:
(Please read my health care action
plan. You cannot give me emergency medication unless you have been trained)
I am this tall and weigh this much:
5
These are some things that I really don’t like:
I am allergic to:
And this is what happens if I have a reaction:
I do not always understand that some things and certain situations could be
dangerous. I need help and support in the following:
(going out, cooking etc.)
This is how I get on with other children and adults:
6
I get around indoors by:
When I am in the car I need support by: (Seating, escort, etc.)
I get around outdoors by:
I need the following support for toileting:
Getting around
7
I would like to take part in the following activities:
To do this activity and feel safe I will need
the following equipment and support:
For me to feel safe the activity staff would need the following training:
(e.g equipment, emergency medication, tracheotomy etc)
Fun activities
8
Let me tell you how well I can see:
(e.g. I can see lights, colours, objects, pictures, symbols or words)
Let me tell you how well I can hear: (e.g. I can hear sounds, recognise and
understand; single words, simple sentences, more complex conversation, wear
hearing aids)
Communication
9
I use the following communication aid:
I use these sounds that stand for words:
(e.g. By for Bike)
I like to use signs, pictures or objects to communicate:
These are the words I know:
10
You approach me like this:
You speak to me like this:

I find it easier to understand you if...
11
This is how I tell you I’m happy:
Some things that make me happy are:
This is how I tell you how I feel:
12
13
Things that make me frightened or anxious are:
This is how I tell you I’m upset or cross:
This is how I will let you know that I’m hungry:
This is how I will let you know that I’m thirsty:
This is how I will let you know I’m not well or in pain:
This is how I will let you know I want to go to the
toilet or please change my pad:
14
Food and Drink
15
My favourite snacks/drinks are:
I like the texture of my food to be:
I like the temperature of my food to be:
I don’t like these foods/drinks:
I eat and drink using:
(spoon, fork, built up dish, special cup)
I need the following help to eat and drink:
I am not allowed to have any of the following foods/drinks:
Why? What happens if I do?
16
I am happy to share this information
with activity organisers
Parent/Carer who has parental responsibility:
GP:
Physiotherapist:
Social Worker:
Occupational Therapist:
Health Advisor:
Key worker:
Children’s Community Nurse:
Nurse Trainer:
Speech Therapist:
This is a list of useful telephone numbers and addresses
which may be helpful to you and if necessary I will agree
for you to contact them.
Consent
Useful telephone numbers
17
Yes No
18
Other things about me I
would like you to know:
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