6th Health My Goals Name_______________

Write a specific goal for each of the circumstances. Use the 6 steps of goal setting to tell me how you will reach each goal.

1. A goal for tomorrow: ___________________________________________________

My plan for the goal is:

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A barrier (s) that may stop me from reaching my goal is:

A solution for not letting a barrier stop me is:

A reward I will give myself when I reach the goal:

I will evaluate my progress towards the reward by:

2. A goal for next week is: ___________________________________________________

My plan for the goal is:

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A barrier (s) that may stop me from reaching my goal is:

A solution for not letting a barrier stop me is:

A reward I will give myself when I reach the goal:

I will evaluate my progress towards the reward by:

3. A goal for next month is: __________________________________________________

My plan for the goal is:

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A barrier (s) that may stop me from reaching my goal is:

A solution for not letting a barrier stop me is:

A reward I will give myself when I reach the goal:

I will evaluate my progress towards the reward by:

4. A Health Goal is: ___________________________________________________

My plan for the goal is:

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A barrier (s) that may stop me from reaching my goal is:

A solution for not letting a barrier stop me is:

A reward I will give myself when I reach the goal:

I will evaluate my progress towards the reward by: