SCOPED can be self-administered or facilitated by a person or software program.

The product of the SCOPED process is the SCOPED Note.

This is a brief document, ideally a one-pager, summarizing the SCOPED elements for a particular decision.

Below is a SCOPED Note template with prompts. Click on the Details page for an elaboration of each category. Click on Templates to download a blank SCOPED form. Click on App to fill out a SCOPED form online.

Situation – clarifying known facts about my condition

List of key facts (from the past) about the situation. Questions?

[Facts 1, 2, 3...]

[Questions 1, 2, 3…]

Choices –clarifying which options are available

List of available choices. Questions about what you can do?

[Choices 1, 2, 3]

[Questions 1, 2, 3…]

Objectives – clarifying my goals and priorities

List of objectives. Questions to clarify what you want?

[Objectives 1, 2, 3...]                               

[Questions 1, 2, 3…]

People – clarifying roles and responsibilities

List of key people and their roles and responsibilities. Questions about who can help?

[Persons 1, 2, 3... and their roles and responsibilities]                                             

[Questions 1, 2, 3…]

Evaluation – clarifying how my choices affect my objectives

How choices may affect objectives. Questions?

[Predicted consequences 1, 2, 3...]

[Questions 1, 2, 3…]

Decisions – clarifying which choice is best and next steps

[Best choice, reasons, and resources needed]

[Next steps: Who, what, when, where, why, how]

[Questions 1, 2, 3...]