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  • Interest Checklist UK (Adapted)

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    Fiona 'Hope' Rae
    482 views11 pages
    This document is an interest checklist for an individual. It contains 9 categories of activities - health and fitness, sports, creative, productivity at home, leisure at home, social, outdoor pursuits, out and about, and educational. Under each category are various activities that the individual can indicate if they like, are okay with, don't want, or want to try each activity. At the end, there is a summary of likes and activities they want to try, along with an action plan from the occupational therapist to develop a shortlist of activities and plan to engage in them.

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    This document is an interest checklist for an individual. It contains 9 categories of activities - health and fitness, sports, creative, productivity at home, leisure at home, social, outdoor pursuits, out and about, and educational. Under each category are various activities that the individual can indicate if they like, are okay with, don't want, or want to try each activity. At the end, there is a summary of likes and activities they want to try, along with an action plan from the occupational therapist to develop a shortlist of activities and plan to engage in them.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    482 views11 pages

    Interest Checklist UK (Adapted)

    Uploaded by

    Fiona 'Hope' Rae
    This document is an interest checklist for an individual. It contains 9 categories of activities - health and fitness, sports, creative, productivity at home, leisure at home, social, outdoor pursuits, out and about, and educational. Under each category are various activities that the individual can indicate if they like, are okay with, don't want, or want to try each activity. At the end, there is a summary of likes and activities they want to try, along with an action plan from the occupational therapist to develop a shortlist of activities and plan to engage in them.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 11

    INTEREST CHECKLIST UK (Adapted Version)

    Name:………………………………………… Date of Birth:………………………..

    Degree of Interest
    Like OK Don’t Want
    1. Health Activity Like to try
    and Fitness
       
    Aerobics / Gym

    Cycling

    Running / Jogging

    Roller blading / Ice


    Skating

    Swimming

    Yoga / Tai Chi…..

    Other Health
    and fitness:
    Like OK Don’t Want
    2. Sports Activity Like to try

       
    Athletics

    Basketball / Netball

    Bowling

    Cricket / Baseball /
    Rounders

    Darts

    Football / Rugby /
    Hockey

    Golf

    Martial Arts / Boxing /


    Fencing
    Pool / Snooker

    Spectator Sports

    Table Tennis

    Tennis / Squash /
    Badminton

    Other Sports:
    Like OK Don’t Want
    3. Creative Activity Like to try

       
    Crafts / Needlework

    Fashion: Clothes /
    Hair / Cosmetics

    ♫
    Making music – incl.
    instrument, DJ’ing….
    Model Building

    Painting / Drawing
    (Art)
    Photography

    Pottery

    Singing

    Writing: letters /
    poems / stories
    Woodworking – incl.
    Picture Framing,
    Furniture Restoration
    Other Creative:
    Like OK Don’t Want
    4.Productivity Activity Like to try
    at home
       
    Car Repair

    Cooking / Baking

    Gardening – incl
    Indoor Plants

    Mending / DIY

    Pet ownership

    Other
    Productivity
    at home:
    Like OK Don’t Want
    5. Leisure at Activity Like to try
    home
       
    Board games –
    chess, scrabble etc.
    Collecting eg. Stamp
    collection
    Computing – games /
    pc / internet
    Listening to music

    Playing cards

    Puzzles / Crosswords

    Radio

    Reading

    Television / Video

    Other
    Leisure at
    home:
    Like OK Don’t Want
    6. Social Activity Like to try

       
    Clubs: Social /
    Nightclubs

    Eating out

    Faith-related
    activities

    Inviting / visiting
    friends / family

    Pubs / bars

    Voluntary work

    Other social:
    Like OK Don’t Want
    7. Outdoor Activity Like to try
    Pursuits
       
    Bird watching /
    Wildlife

    Camping

    Climbing

    Fishing

    Horse riding

    Walking

    Water Sports incl.


    canoeing / rowing

    Other
    outdoor
    pursuits:
    Like OK Don’t Want
    8. Out and Activity Like to try
    About
       
    Bingo

    Cinema

    Concerts /Theatre

    Dancing

    Driving

    Museums / art
    galleries

    Places of interest /
    day trips

    Shopping (incl.
    Markets)
    Traveling / Holidays

    Other out
    and about:
    Like OK Don’t Want
    9.Educational Activity Like to try

       
    Antiques

    Courses / adult
    education

    History

    Politics / Philosophy

    Science

    Other
    educational:

    Occupational Therapist………………………………… Signed……………………….. Date…………………


    INTEREST SUMMARY
    Name:……………………………………… Date of Birth……………………..

    Likes Want to try

    ACTION PLAN

    SHORTLIST ACTION PLAN

    Occupational Therapist………………………………… Signed…………………….. Date…………………

    V6.1. David Heasman / Paul Brewer. 2008


    Adapted version Aoife McCormack, 2014

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