Leisure Buddy Session / Activity record

This activity record has been developed as a way to document activities and gather person centred information at the same time. It can be used to record action plan steps or activities that occur outside of the Person Centred Planning meetings. This activity record helps us to gather and share information specific to what worked and what didn’t work for each activity, allowing Leisure Buddies and others who provide support to continually fine tune their information and provide guidance and support to inform future plans..
We value YOUR input as a Leisure Buddy – as YOU are the main person using this form!!

* denotes required field.


Form Questions
Date of session / activity *
Date of session / activity

Who was involved in this session / activity ?

Form Questions

What sort of things did you do today?

Tell us about What did the person do? What, where, when, duration

Form Questions

Issues, Hazards or Incidents

Please make sure you complete a hazard/ incident report form and inform ATLAS management as soon as possible if one is required

Form Questions
Did any issues, hazards or incidents occur that ATLAS need to be aware of ? *
Have you completed and submitted a Hazard / Incident report form?

Leisure Buddy Signature

Please make sure you sign the hard copy of this information to validate this as a true and accurate reflection of your Leisure Buddy support. These notes will be saved and stored on the participant file in hard copy in the ATLAS office.

Form Questions

Form Submit Details