Resident Stage 2 Self Assessment

Resident Self-Assessment Questionnaire – Stage 2

Purpose: This self-assessment helps you reflect on your progress, personal growth, and relationships during this next stage of the program. It also allows you to take part in your care planning and encourages you to input into the decision-making process for our journey through the program.

SECTION 1 – PERSONAL REFLECTION

1. What positive changes have you noticed in yourself?(Required)

2. What have been your biggest challenges during this stage?(Required)

3. How have you responded to those challenges?(Required)

4. What support or resources have been most helpful to your recovery?(Required)

5. Do you feel you need more support before progressing to the next stage, if so list below ?(Required)

SECTION 2 – PROGRAM PARTICIPATION

3. What areas of the program do you feel most connected to, and why?(Required)

4. What areas do you find most difficult or least meaningful?(Required)

SECTION 3 – RELATIONSHIPS AND COMMUNITY

1. How have you contributed to the positive culture and community at Pindari House?(Required)

3. How have you demonstrated respect, honesty, and accountability in your relationships?(Required)

4. What relationships or conflicts have you worked through during this stage?(Required)

SECTION 4 – PERSONAL GROWTH AND INSIGHT

1. What have you learned about yourself during this stage?(Required)

2. How has your understanding of personal responsibility, honesty, or self-control changed?(Required)

3. How are you demonstrating readiness for greater independence and responsibility?(Required)

SECTION 5 – GOALS AND FUTURE PLANNING

1. What are your goals for the next stage of the program?(Required)

2. What behaviours, attitudes, or routines do you still need to work on?(Required)

3. How can staff best support your continued progress?(Required)

4. Is there anything else you would like to share about your experience or readiness?(Required)

Date