MY ACTION PLAN -  Number 3
 
Instructions: 
1.	Complete each section of the template below to reflect on your progress toward meeting your wellness goals and to make any revisions to your goals and strategies that you would like to make to enhance your personal wellness.

2.	At the end of the week, write a brief summary of your successes in meeting your goal and/ or challenges you experienced and how you overcame those challenges. 

NAME: ________________________________________________
 
DATE: (Week of)  ________________________________________
 
Decisions I have made/actions I have taken since my last check in to meet my wellness goals: 
 
1.

2.

3.
 	
How these decisions and actions have positively affected my health and well-being:

 

 	
Challenges or barriers I have faced and how I have dealt with them: 

 

 
 	
The goals I will continue to work toward are (identify a minimum of two): 
 
1.

 
2. 

 
These goals are important to me because:

 

 	
A new goal I would like to pursue is: 

 
 
This new goal is important to me because: 

 
 	
Three strategies I will use to continue to move toward my wellness goals: 
 
1.

2.

3.
 	
Week End Summary of Progress: