Name:

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BeWell Assignment #3 (52 points)

Complete the template and Save AS a .pdf file with YOUR NAME on it.
Upload your typed BeWell#3 by the due date to Canvas. Handwritten assignments =0
We cannot accept emailed assignments.
Late assignments will be penalized as stated in the syllabus.

STEP 1: STAGES OF CHANGE (Transtheoretical Model: See chapter 1)

Answer each question in the table in detail about your stage of change.
Nutrition Physical Activity Sleep Mental Wellbeing
A) List your stage of
change from BeWell
#1 for nutrition,
physical activity (PA),
sleep, and mental
wellbeing behavior.
*if you listed an
incorrect stage in
Bewell #1, be sure to
update to a correct
stage of change

B) List your current stage

of change for
nutrition, PA, sleep,
and mental wellbeing
behavior.

C) Was there a change in

your stage of change
for your
nutrition/PA/sleep/
mental wellbeing
behavior over the
term? Explain in a
minimum of 2
sentences why or why
not.

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STEP 2: 4-6 WEEK SMART GOAL: REFLECTION AND SETTING NEW GOAL

Question 2: Your Responses

A) State your 1-2 SENTENCE SMART GOAL from

previous BeWell assignments:
*Be sure you have incorporated your
TA/instructor’s feedback from previous
assignments to revise your SMART goal with all 5
SMART components in one-two sentences.

B) SMART GOAL PROGRESS FINAL UPDATE: Your

SMART goal (above) was supposed to be
completed near the end of the term.
In 2 sentences minimum, describe your progress
on achieving this SMART goal.

To show skill mastery in goal setting, write a new goal using all of the SMART components.
Be sure you make your new goal significantly different than your previous goal.

C) NEW 4-6 WEEK SMART GOAL

Using the SMART goal format, create a NEW 1-2
sentence SMART goal that you will work towards
for the next 4-6 weeks. This goal should be
nutrition, physical activity, sleep, or mental
wellbeing-related.

STEP 3: APPLICATION: CREATING A PERSONAL PLAN FOR HEALTH & WELLBEING

This term, you have learned about nutrition, physical activity patterns, sleep, and mental wellbeing strategies and
identified how it relates to your personal health and wellness. Now let’s plan for the future by explaining HOW and
WHAT you will do for each of those areas plus one more area of your choice (for example: social, financial, spiritual,
intellectual, etc.) IMPORTANT: A strategy is a careful plan of action, be specific on what action you will do.

Describe ONE strategy/habit/behavior/plan of action for each component PLUS pick one
additional area that you will personally use to maintain (or improve) starting
NOW and for the next 3-6 months.
Your Responses (Minimum 2-3 sentences for each response)
For example: I will work on my sleep consistency for the next 2 months (until 2/11) by setting a regular bed
Sleep time and wake up time. I will wake up between 730 and 8am every morning. I will set 2
bedtime alarms; one for 1130pm to start getting ready for bed and the second for 12pm
when I will be in bed and hopefully asleep by 12:15. This will be during weekdays and the
weekends. I will also let my roommate know about this change to get their help and support
with my sleep consistency. I will reflect each week to see how it’s going and adjust as needed.

Nutrition

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 Physical Activity

Sleep

Mental Wellbeing

One additional area

of your choice:

Final Instructions: Save as a .pdf (recommended).

Upload your assignment to Canvas by the due date.
Double-check your uploaded document on Canvas for errors.

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