Jane's Personal Health Action Plan
Jane has been trying to lose weight all year. After learning more about eating healthfully, Jane has successfully shed 20 pounds. She still has more to lose and is worried that the holidays will get her off her healthy eating habits. Here is Jane's plan:Personal Health Action Plan
| My goal: | To lose weight and/or maintain my weight through the holidays. |
| Steps I will take: |
What -- When -- How often
|
| Benefits I will get from meeting this goal: |
|
| Barriers that might get in my way: |
|
| How I will overcome these barriers: |
|
| Who can help me with my goal? How? |
|
| Date I will check my progress: |
|
| How I will reward myself for meeting my goal: |
|
| My confidence that I will meet my goal: |
Circle the percentage that most closely matches your confidence level: 0 1 2 3 4 5 6 7 8 9 10 Not at all confident Totally confident |
| Sign this contract: |
______________________ ______________ Signature Date |
Post this contract where you can see it every day!
More sample plans: Al's plan Sue's plan Start my own plan Back to Keeping Healthy Habits