Jump Start Week 2 Worksheet

Jump Start Week 2 Worksheet

Please complete this form as part of week 2 of the Jump Start program. If you have any questions, please contact Lindsay Worley at lworley@quadmedical.com.
Name*

First NameLast Name
Email*
example@example.com
Goal Setting

Keeping your vision or "WHY" in mind, create at least one long-term goal and one short-term goal about physical activity. Use the SMART framework to guide you.

Specific- Identify a behavior that is relevant to your wellness vision/why.

Measureable- How will you measure or track this behavior?

Action Based- What are steps or actions you can take to work toward accomplishing this goal?

Realistic- Do you have the time, resources, and ability to work towards this goal right now?

Timely- Do you have a deadline or date by which you want to meet this goal?
What is your purpose statement?*
Long Term Goal:
What is your goal?*
What type of goal is this?

Outcome goalProcess goalIdentity goal
How will you measure progress?*
Who will you be accountable to and how will you track/report your progress?*
When will you begin and how long will you work on this goal?*
Why is this goal important to you and how does it relate to your vision/purpose statement?*
On a scale of 1 to 10, how confident are you that you can achieve this goal?*

1

2

3

4

5

6

7

8

9

10

1 is Least confident, 10 is Most confident
Short Term Goal:
What is your goal?*
What type of goal is this?

Outcome goalProcess goalIdentity goal
How will you measure progress?*
Who will you be accountable to and how will you track/report your progress?*
When will you begin and how long will you work on this goal?*
Why is this goal important to you and how does it relate to your vision/purpose statement, as well as your long-term goal? *
On a scale of 1 to 10, how confident are you that you can achieve this goal?*

1

2

3

4

5

6

7

8

9

10

1 is Least confident, 10 is Most confident
Extra Readings for Fun:

https://www.acefitness.org/resources/everyone/blog/6852/6-things-to-know-about-non-exercise-activity-thermogenesis/

https://www.acefitness.org/resources/everyone/blog/7905/neat-ways-to-burn-more-calories/
Should be Empty:

Jump Start Week 2 Worksheet

Long Term Goal:

Short Term Goal: