Planning & Goal Setting Contemplation Stage

Name: ______________________ Period: _______________

GOAL PLAN
For the next 10 weeks you will be working at achieving a SMART Goal.

DUE DATE: ___________________

Step 1: Select a Nutrition/Healthy Weight Management/Physical Activity Goal
We all have dreams. But in order to make dreams come into reality, it takes an awful lot of determination, dedication, self-discipline, and effort. -Jesse Owens

My SMART Goal is: ________________________________________ ________________________________________ ________________________________________ Rate on a scale of 0-10 how committed you are towards achieving your goal. Circle the number that applies to you. 0 = not committed at all 5 = somewhat committed 10 = totally committed

= Specific Measurable

M=

A=
R T

Attainable

= Realistic = Timely

10