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Through  Wellness  at  Dartmouth  you  have  a  number  of  resources  available  to  support  and  encourage  you  on  the  path  to  achieving  your   health  and  wellness  goals,  including  health  coaching.    Health  Coaches  are  available  for  1:1  appointments  as  well  as  customized  workshops   for  departments.    For  more  information  about  health  coaching  please  email  [email protected]  or  call  603.597.4033.            

Dartmouth  Health  Connect  patients  should  contact  the  practice  to  schedule  health  coaching  appointments  at  603.653.8191.      

 

HEALTH GOALS

www.dartmouth.edu/wellness

Name:                                                                                                           Date:    

  Ready  to  make  a  health-­‐related  change?    Not  sure  where  to  start?      

Having  a  clearly  defined  health  goal  is  the  first  step     on  the  path  to  successful  behavior  change.      

     To  begin,  identify  one  health-­‐related  behavior  you  would  like  to  change:  

o Improve  Nutrition   o Increase  Physical  Activity   o Improve  Sleep  Habits  

o Reduce  Stress   o Improve  Work/Life  Balance   o Other:  ________________________

     How  ready  are  you  to  make  that  change?  Circle  a  number:    

0-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐1-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐2-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐3-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐4-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐5-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐6-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐7-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐8-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐9-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐10   Not  yet  ready                                                                                                                                                         Just  about  ready  

     What  would  it  take  to  move  you  closer  to  a  10?  

o More  Planning   o Make  a  Commitment   o Family/Friend  Support  

o Seek  Outside  Assistance   o Find  More  Information   o Other(s):  ________________________  

         What  are  the  benefits  of  making  this  change?  

o Improved  Health   o Feel  Better   o More  Confident    

o More  Energy   o Less  Stress   o Other(s):  ________________________  

     What  are  the  barriers  that  may  make  it  difficult  to  make  this  change?  

o Not  Enough  Time   o Lack  of  Resources   o Too  Busy  

o No  Support     o Don’t  Know  Where  To  Start   o Other(s):  ________________________  

     How  will  you  overcome  these  barriers  and  succeed  despite  them?  Use  the  space  below  to  answer.    

 

 

Through  Wellness  at  Dartmouth  you  have  a  number  of  resources  available  to  support  and  encourage  you  on  the  path  to  achieving  your   health  and  wellness  goals,  including  health  coaching.    Health  Coaches  are  available  for  1:1  appointments  as  well  as  customized  workshops   for  departments.    For  more  information  about  health  coaching  please  email  [email protected]  or  call  603.597.4033.            

Dartmouth  Health  Connect  patients  should  contact  the  practice  to  schedule  health  coaching  appointments  at  603.653.8191.      

 

HEALTH GOALS

www.dartmouth.edu/wellness

Name:                                                                                                           Date:    

Setting  Your  Health  Goal    

Many  people  find  the  acronym  S.M.A.R.T.  is  helpful  when  setting  health-­‐related  goals.  Using  this  tool  as  a   framework,  you  can  develop  goals  that  are:  

  Specific  –  What  exactly  do  I  want  to  do?   Measurable  -­‐  How  much/many  do  I  want  to  do?   Attainable  –  How  likely  am  I  to  accomplish  this  goal?   Relevant  –  Does  this  goal  really  matter  to  me?   Time-­‐bound  –  What  is  the  time  frame  for  me  to  accomplish  this  goal?  

     S.M.A.R.T.  Goal  Examples:      

• To  help  me  add  more  physical  activity  to  my  daily  routine,  I  will  walk  to  my  office  from  the   Thompson  parking  lot  at  least  three  days  per  week  starting  tomorrow.  

• To  meet  my  goal  of  better  nutrition,  I  will  eat  raw  vegetables  at  lunch  and  cooked  vegetables  at   dinner  every  day  starting  tonight.  

• Beginning  next  week,  I  will  jog  on  the  treadmill  for  twenty  minutes  at  least  three  mornings  each   week  before  7:00  AM.  

• Over  the  next  two  weeks,  my  goal  is  to  find  at  least  five  minutes  every  day  to  meditate  to  help  me   better  manage  my  stress.  

 

 Feel  free  to  use  the  space  below  to  write  your  own  personal  S.M.A.R.T.  goal.    It  may  be  helpful  to  start   your  goal  with  "I  will…"        I  will...______________________________________________________________________________________________       _______________________________________________________________________________________________________________________      S.M.A.R.T.  Goal  Checklist  -­‐  My  goal  is:  

o Specific   o Measurable   o Attainable   o Relevant   o Time-­‐bound