The SIS-A^® Annual Review Protocol is a questionnaire created to help planning teams identify people whose intensity of support needs might have changed in important ways since their last SIS-A assessment.

The protocol focuses on possible significant changes due to important life events and/or health or behavioral concerns, captured in 21 SIS-A items particularly critical to understanding the support need domains  of the SIS-A.

At the conclusion of the protocol, a determination is made as to whether the person’s support needs have or have not changed in important ways, and, if so, the planning team includes a description of the next steps required.