Personal Wellness Plan Worksheet

Personal Wellness Plan   Worksheet

 

This work sheet is to be used as an organizational tool along with the article Wellness Matters to help you get started on your wellness plan.

People who are successful at making lifestyle changes take time to write out specific goals and a plan of action. Use this work sheet to write out your goals and action plans. As you read “Wellness Matters” Review the various area of your health, decide in which areas you would like to make an improvement. Write your specific goals and plans. Once you have your list prioritize your goals and use this sheet goal # 1 being the most important and the goal you will work on first. Keep track of your progress. Review your goals regularly.

 

 

 

Motivation

 

1) __________________________________________________________________________________

2)___________________________________________________________________________________

3)___________________________________________________________________________________

4)____________________________________________________________________________________

5)____________________________________________________________________________________

 

 

 

Short Term Goal # 1

 

Plan:

 

Back up plan:

 

 

Long Term goal #1

 

 

Short Term Goal #2

 

 

Plan:

 

Back up plan:

 

 

Long Term Goal#2

 

 

 

 

 

 

Short Term Goal #3

 

 

Plan:

 

Back Up Plan:

 

 

Long Term Goal #3

 

 

 

Short Term Goal #4

 

 

Plan:

 

 

Back up Plan:

 

 

Long Term Goal #4

 

 

Short Term Goal #5

 

 

Plan:

 

 

Back up Plan:

 

 

Long Term Plan #5