Directions: Fill in the following fields and hit the submit button. That will bring up a printer friendly page for you to print out.

Your Name:

Today's Date:

The Goal I consider most important in my life:

Part I:
This is a list of the benefits that I and others will gain when I achieve Goal #1:

Part II:
The action steps I plan to take to achieve Goal #1:

ACTION STEPS DATE

Part III:
The affirmation statement I will use to remind me and motivate me to achieve this goal is: