Prevention Plus Wellness Youth 7-Day Goal Challenge
This Goal Challenge takes about 5-minutes to complete.
All rights reserved by Prevention Plus Wellness, LLC, 2020
1.
Are you...
Male
Female
2.
How old are you?
12 years old or younger
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old or older
3.
What grade are you in?
9th grade
10th grade
11th grade
12th grade
Ungraded or other grade
4.
What is your race?
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
5.
What school, organization or community do you represent?
6.
Will you pledge to avoid using alcohol, tobacco, e-cigarettes, marijuana and other illegal drugs during the next 7 days in order to maintain an active and healthy lifestyle?
Yes
No
7.
Which one of the following healthy habits will you improve during the next 7 days? Chose one.
Get 8 or more hours sleep each night
Eat a healthy breakfast every day or eat a daily variety of other healthy foods such as fresh fruits and vegetables
Participate in some fun physical activity or sports at least 30 minutes 4-5 days per week
Practice a stress control technique most days a week like yoga, meditation, prayer or walking in nature.
8.
List a specific, measurable healthy habit will you improve from the list above. For example, playing tennis is measurable but getting more exercise is not, and eating more fruits and vegetables is measurable but eating healthier is not.
9.
List an exact amount of that habit you will do each time. For example, 30 minutes each time, or 5 servings of fruits and vegetables each day.
10.
List an exact frequency of the habit you will do. For example, 4 days a week, Monday-Thursday, or each day of the week.
11.
In addition to yourself, who else will sign this Goal Challenge to make it an official contract between you and them?
Mom or dad
Grandmother or grandfather
Aunt or uncle
Older brother or sister
Trusted and supportive friend
Other (please specify)
12.
Where will you post your Goal Challenge so you can see it every day and be reminded to monitor your health habits? Choose one.
Bedroom wall or mirror
Bathroom mirror
Refrigerator door
TV or computer
Other (please specify)
13.
Add your signature and date below.
14.
How many times have you completed the weekly Goal Challenge?
1 time
2 times
3 times
4 times
5 times
6 times
7 times
8 or more times
15.
Congratulations! You have successfully completed the Prevention Plus Wellness 7-Day Goal Challenge. Remember to place this contract where it can be seen each day to monitor your daily goal progress. After one week, review your goals and complete another 7-day plan to help you continue to experience success in reaching your ultimate goals.
16.
You’ve taken the first and most important step toward improving your wellness. Improving yourself is a life-long process. It takes committing to small changes. Focus on and celebrate the small gains you make each day, week and month. You can do it! Keep trying. Never quit!
17.
What did you like BEST about the Prevention Plus Wellness 7-Day Goal Challenge? For example, how did it help you with your health habits, motivation, goal setting, self-esteem, etc.
18.
What did you like LEAST about the Prevention Plus Wellness 7-Day Goal Challenge? For example, what would you like to see changed or improved?
19.
PRINT OUT YOUR COMPLETED GOAL CHALLENGE NOW. Then take it to be co-signed and dated by the person you identified above. Now, rate this goal setting experience.
1 star
2 stars
3 stars
4 stars
5 stars
20.
Forward the link to this Goal Challenge to a friend. Thank you!
