PERSONALWELLNESSPLANPHASE1TAKINGRESPONSIBILITYTEMPLATE1.docx

PERSONALWELLNESSPLANPHASE1TAKINGRESPONSIBILITYTEMPLATE1.docx

PERSONAL WELLNESS PLAN

PHASE 1: TAKING RESPONSIBILITY

ASSIGNMENT AND RUBRIC

DUE: ________________________

This assignment will provide opportunities for you to demonstrate the following course objectives: 1, 3, 5, 6, 7. It will contribute up to 5 points towards your final grade.

As based on your Wellness Assessment Questionnaire, course readings, and learning activities, identify a behavioral change you will commit to this semester. This should be a practice you intend to adopt as habit, or part of your lifestyle. It must contribute to your improved wellness. It must be correctly stated as a SMART goal.

Follow your SMART goal.

Complete all sections of this Personal Wellness Plan template.

Complete all sections of the Record Keeping Chart including data and reflections for 1 week (no fewer than 3 days).

Use the Record Keeping Chart that corresponds with your SMART goal. See LionsShare Courses for the appropriate chart.

Submit the completed documents in a typed, hard copy format or in the LionsSHARE Courses assignment folder if instructed to do so.

Please consult the rubric on the final page.

PERSONAL WELLNESS PLAN PHASE 1: TAKING RESPONSIBILITY

COMPLETE ALL SECTIONS OF THIS TEMPLATE. TYPE YOUR RESPONSES.

NAME: COURSE SECTION:

MY WELLNESS FOCUS AREA (Nutrition, fitness, sleep, tobacco):

MY SMART GOAL FOR BEHAVIOR CHANGE (YOUR APPROVED SMART GOAL):

DO YOU BELIEVE THAT YOUR CURRENT STATUS REGARDING YOUR GOAL PUTS YOU AT RISK FOR DEVELOPING CERTAIN DISEASES OR DECREASING YOUR QUALITY OF LIFE? EXPLAIN:

HOW CONFIDENT ARE YOU THAT YOU CAN ACHIEVE THIS GOAL? EXPLAIN:

Type Answers Here

Which one of our course-embedded Core Values is directly relevant to your SMART goal? List it. Explain its direct relevance.

1 course Core Value directly relevant to my SMART goal:

Direct Relevance:

Go back to your SMART goal Guided Notes. See SMART Goal Resources. Find the link associated with your SMART goal. Using that as your resource, read about fitness, nutrition, or sleep as it directly pertains to your goal and to you. Then list and explain 2 benefits you can expect by achieving your SMART goal. Summarize or paraphrase information that supports your expectations. Include page numbers for directly quoted information.

These are 2 benefits I can expect by achieving my SMART goal:

This summarized or paraphrased information from the required SMART Goal Resource supports my expectations:

This is the link to the SMART Goal Resource I am referencing:

Identify and briefly describe 3 challenges or difficulties you expect to have as you work towards achieving your SMART goal.

Expected Challenge #1:

Expected Challenge #2:

Expected Challenge #3:

Identify and briefly describe specific strategies you will use to overcome each of the 3 challenges/difficulties.

You will be trying and reporting on at least 2 of these 3 strategies in the next few weeks.

I will try this specific strategy to overcome expected challenge #1:

I will try this specific strategy

to overcome expected challenge #2:

I will try this specific strategy

to overcome expected challenge #3:

FOLLOW YOUR SMART GOAL. RECORD YOUR PROGRESS AND REFLECTIONS FOR 1 WEEK (AT LEAST 3 DAYS). ATTACH 1 COMPLETED/TYPED RECORD KEEPING CHART TO THIS COMPLETED TEMPLATE. SEE LionsSHARE COURSES FOR THE CHART ASSOCIATED WITH YOUR GOAL.

PERSONAL WELLNESS PLAN PHASE 1: TAKING RESPONSIBILITY RUBRIC

C:UsersJoanneAppDataLocalMicrosoftWindowsTemporary Internet FilesContent.IE5C7S3TOU2MC900442036[1].wmfPLEASE KEEP YOUR ASSESSED (GRADED) ASSIGNMENT.

YOU WILL NEED THIS PERSONAL WELLNESS PLAN TO COMPLETE PHASES 2 and 3.

Criteria Points

SMART Goal/Relevance to Core Value:

· Provides SMART goal for behavior change describing a wellness practice student will work towards this semester. SMART goal is stated in correct format with a week 6 end date.

· Lists 1 course-embedded Core Value directly relevant to SMART goal. Succinctly explains the direct relevance.

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Goal Measurement/Metrics:

· Follows SMART goal and records progress.

· Selects (from LionsSHARE Courses) the Record Keeping Chart associated with the SMART Goal.

· Completes all sections of the Record Keeping Chart including data and reflections for 1 week (no fewer than 3 days). TYPES the information.

· Attaches completed Record Keeping Chart to this Personal Wellness Plan.

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Expected Benefits of Attaining SMART Goal. Summarized Information From the

Required Website Supports Expected Benefits. Explains Current Beliefs:

· Per required reference corresponding to the SMART goal, lists and explains through summarized or paraphrased information, two specific benefits student can expect by achieving their SMART goal.

· Provides link to the SMART Goal Reference as reference.

· Provides the corresponding page numbers for quoted information.

· Explains if their current status regarding their goal is perceived as a risk for developing certain diseases or decreased quality of life.

· Explains confidence level for perceiving this goal.

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Expected Challenges/Difficulties:

· Identifies and briefly describes 3 challenges or difficulties student expects to have as they work towards achieving their SMART goal.

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Plans to Overcome Identified Challenges/Difficulties:

· Clearly and succinctly explains strategies to overcome each identified

challenge or difficulty.

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Assessment

Highest Level Points = Exceeds or meets criteria.

Secondary Level Points = Meets criteria with minor omission, or need for breadth/depth of detail, or need for improved language/style/syntax or mechanics.

0 Points = Not included, without support, and/or contains or is based on major errors of information or fact.