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 should be completed by a reviewer in consultation with at least two respondents who know the person being assessed well. The protocol focuses on possible significant changes due to important life events and/or health or behavioral concerns, or 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.