Use one question, make one wanted part, or leave it. Read aloud, point, sign, use AAC, mark or ask someone to scribe your own choice. Nothing needs writing/printing.
My intention, if I want to offer it: what is it?
Actual work, unmade plan or partly made: which exists?
Actual reply, NONE, private/planned, or explicitly invented model?
Keep, change, try or leave: what do I choose?
Full literal blank alternative
Intention: blank. Available actual event/response or NONE: blank. My next choice: blank. No recipient words, emotion or effect are supplied.
An agreeing helper can follow your directions; their physical drawing/handling remains theirs. Adult-added ideas are named. An unmade plan stays a plan. Stop, rest, help, private keeping, a different job and pass are welcome. You do not have to explain a reason or share. Actual source/recipient/response is recorded only if it exists. No name or private details.