Step 2: Create an Action Plan
Goal: ______________________________________________________________________
___________________________________________________________________________
Goal Start Date: ____________________
Goal End Date: ____________________
Steps I Will Use to Reach My Goal: Place a checkmark next to each step once it is completed:
Measurable steps to the
Starting
What do I need?
Did I
Why not?
goal
and
achieve it?
What is my
completion
solution?
dates
Who can support me in reaching my goal? ________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
__________________________________________________________________________________
Colorado Education Initiative
Health Skills Models: