NAME: DATE:

Setting Goals
It is important to set goals for your new weight management program. Refer to Section 2:
Plan Change for guidelines on setting useful short-term and long-term goals. The information
below may help you in forming goals for your weight management program.

My current weight is __________________________

I would like to weigh __________________________

My current total energy expenditure (EE) is __________________________

My current daily caloric intake is __________________________

My target caloric intake is __________________________

In order to attain my target caloric intake, I will create a caloric difference of ___________________

by modifying my diet and a caloric difference of __________________________ through exercise.