Wholesoldier Counseling Form Page 2
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2PART III - ANALYSIS
LEADER INSIGHTS:
(Summary of performance as a whole, affirmation of strengths, and areas for improvement.
HEART
Identification of risks, root causes, or underlying factors. Strategy for improvement. )
BODY
MIND
DD93
SGLV
Hearing
Vision
HIV
Dental
DNA
PHA
IMM
IME
Medication
GT Score
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Height
Weight
Body Fat %
APFT
WPN Qualification
Profile
Score:
Score:
Date:
Date:
Date:
PART IV - AGREEMENTS
ASPIRATIONS
ACTIONS
ASSISTANCE
AREAS
Long-Term Goals
SMART Short-Term (Specific, Measurable, Action-Based, Realistic, Time-Bound)
Leader Responsibilities
FOCUS
Professional development
goals to sustain strengths,
improve weaknesses, and
implement strategy discussed
above. This also includes
schools, promotion, and
retention.
FITNESS/FOOD
Physcial goals to sustain
strengths and improve
weaknesses supporting health
and performance.
FINANCES
Personal financial goals to
include reducing debt, saving,
and spending.
FAMILY/FRIENDS
Personal relational goals
contributing to support
system.
FUN
Personal goals to enjoy life
while balancing risks of
unhealthy or unsafe actions.
FAITH
Personal goals to align life with
values, ideals, and/or spiritual
beliefs.
Soldier Signature: _______________________________________
Leader Signature: ______________________________________
Date: __________________
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