Behavior Change Project Name Connie Sanders Date 3/17/2019 **This is the end of Sheet1 - Introduction. Continue on to Sheet2 - Assess Yourself For the duration of this 8-week term, you will complete a behavior change project. This project will begin with an overall assessment of wellness and SMART goal setting. Generally speaking, you will choose something you wish to begin doing or stop doing in order to carry out a healthier lifestyle (nutrition or physical activity change, for instance). Over the course of the term, there will be various worksheets for you to fill out regarding your progress with the behavior change of your choice. You will end the project with reflections on your changed behavior. Each worksheet associated with this project will be labeled “Behavior Change Project – xyz” (‘xyz’ will be replaced with the appropriate name of the worksheet to be completed for a given week). Put your name and date in the designated slots below these instructions (cells C16 and C17). *type your answers directly into this document and save a copy with a file name 'LASTNAMEweek1BehaviorChangeProject'
Behavior Change Project -- Assess Yourself Checklist for Tab Completion Sheet3-Wellness Evaluation completed Sheet4-Lifestyle Assessment completed Sheet5-Target Behaviors completed Sheet6-Health Effects completed Sheet7-Changing Behavior completed Sheet8-SMART Goals completed Sheet9-Day 1 Journal Entry completed *This is for your benefit to ensure you've completed the assignment **This is the end of Sheet2 - Assess Yourself. Continue on to Sheet3 - Wellness Evalua This portion of your Behavior Change Project is geared toward assessing your wellness, choosing a realistic behavior to alter for the duration of the 8 week course, and creating SMART goals for your target behavior change. Make sure you complete each of the tabs in this document to get full credit for this activity. The tabs that must be completed are listed below. Complete them in this order.
Wellness Evaluation Physical Wellness Rarely, if ever (1) 1. I exercise for >30 minutes/day on 3 or more days per week 2. I am physically active most days of the week 3. I maintain a healthy body weight 4. I always use my seatbelt when driving or riding in a car x 6. I obey traffic rules and speed limits 7. I consistently get 7-9 hours of sleep 8. I am able to sleep peacefully through the night 9. I eat a variety of foods including fruits and vegetables 10. I avoid skipping meals 11. I rarely eat processed foods and/or sweets 12. I consume less than two alcoholic beverages a day 13. I never get intoxicated x 14. I do not binge drink x 15. I never smoke or use smokeless tobacco 16. I do not use illegal drugs x 17. I use prescription medications only for their intended purpose 18. I get annual medical examinations Total Points 48 *For each section, Rarely, if ever is 1 point, Sometimes is 2 points, Most of the time is 3 Social Wellness Rarely, if ever (1) The purpose of this quantitative wellness evaluation is to determine your current state specific lifestyle questions about each of the eight components of wellness. In response
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- Fall '19