My Diet to Be _______________________________________________
My Fitness to Be _____________________________________________
My Strength to Be ____________________________________________
My Flexibility to Be ___________________________________________
My Endurance to Be __________________________________________
My Body Type to Be __________________________________________
My Energy to Be _____________________________________________
My Weight to Be _____________________________________________
My Skin to Be _______________________________________________
My Teeth to Be ______________________________________________
My Hair to Be _______________________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
If you’re not happy with your physical life today, what would you like to change or improve?
_____________________________________________________________________
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Whether or not you are happy with your physical state today, please list the top five things you would like to either change or maintain about your physical existence as it is today.
1. _________________________________________________________
2. _________________________________________________________
3. _________________________________________________________
4. _________________________________________________________
5. _________________________________________________________
What can you do today to start to change or to maintain those five items?
| Item | What I Can Do Today to Achieve the Goal I Want in Five Years |
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Your physical being can include your physical and material life (i.e., what you have, your external possessions) circumstances. Are you happy with your physical life today? If so, why? (Use the spaces below.) Remember, recovery teaches us to be grateful for what we have today. This exercise is not about being ungrateful; rather it is about examining the aspects of your physical life that may be within your control to build on and improve.
_____________________________________________________________________
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Continue with your material life circumstances. Are you happy with your material life today? If so, why? (Use the spaces below.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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My Nutrition Condition
Much like a car needs fuel to run, your body needs the energy provided by the foods you eat in order to function. And the higher the quality of “fuel” you give your body, the better it will run, and the better your overall health and wellness will be. Good nutrition involves consuming the right balance of carbohydrates, proteins, and fats, along with essential vitamins and minerals. As you begin to set your nutritional goals, you may want to build your knowledge about healthy eating and bring more awareness to your food choices (where your food comes from, how it is produced, how certain foods make you feel, etc.), then incorporate this information into your plan.
Begin where you are. Check off each item based on how you feel about it today.
My Five-Year Plan Goals Five years from now I’d like (fill in the blank next to the nutrition item listed.)
My Eating Habits to Be ________________________________________
My Sugar Intake to Be _________________________________________
My Fat Intake to Be ___________________________________________
My Vegetable Intake to Be ______________________________________
My Fruit Intake to Be __________________________________________
My Protein Intake to Be ________________________________________
My Carbohydrate Intake to Be ___________________________________
My Animal Products Intake to Be_________________________________
My Vitamin/Supplement Intake to Be _____________________________
My Water Intake to Be _________________________________________
My Salt Intake to Be ___________________________________________
My Processed Foods Intake to Be _________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
How I Will Achieve My Nutrition Goals Now write specific actions you can begin to do to implement the changes you listed.
Within