The 3 Element Health Plan

Element III        Goal Planner

Week 1 - 4

Your Name:..............................................................................

Creating a Vision       

Please try and answer the following question:

1. What are You trying to achieve with your new Health Regime?
2. If it is Weight loss, how much weight are You hoping to lose realistically?
3. Baring in mind that sustainable weight loss/health takes a little longer to achieve how much time have You allowed to achieve your optimum weight/health?
4. Why is losing weight so important to You?
5. How is your optimum weight/health going to affect other areas of Your life?
6. What will your optimum weight/health enable You to do that you feel you can’t do at present?

What motivates You?

a. Achievement?   Yes  ...   No...
b. Power and Influence?   Yes...No...
c. Competence?   Yes...No...
d. Social motivation (desire to belong to a social or peer group)?   Yes...No...
e. Incentives (i.e. a holiday, a new outfit)?   Yes...No...,
f. Negative Motivation (avoiding a particular outcome)?   Yes...No...

The bigger picture

You are now clear about Your ultimate goal and understand what motivates You .Please state in no more than 3 sentences where You are at present and where You are going. Be as specific as possible.
Start by saying
My vision is...............................................................................................................................................................................................................................

.................................................................................................................................................................................................................................

................................................................................................................................................................................................................................

Time to commit

Now make a contract with Yourself, date it, sign it and keep it safe. List out 3 different action steps that You will take towards achieving your ultimate goal.

Start by saying

I commit to .......
1.

2.

3.

Date..........................................       Signature .................................................................