Date

What do I want to
change?

What steps will I

take to achieve
this?

Who will
help me?

When
will I
reach
this
goal?

Challenges
What could get
in the way?

Successes
?

The WellnessWhatWheel
are my
Strengths?

1.
Do
Do
you
you
have
have
2.troublefrom
support
family?
sleeping?
Have
3. you lost a
loved one?
4.

Do you have
a lot of
stress?

Do you like
learning new
things?

Do you
have
friends?

Intellectua
Are you a lmember of a club?

Do you smoke?

Physic
al Do you
Do you skip meals?
practice safe
Do you exercise?
sex?

Do you have a
belief system?

Spiritual
Do you feel
like you
belong?

Emotion
Social
5.al

Do you have enough

money to support your
living needs?

Financial
Environme
Do you get
along
nt with the
people you
live with?

Do you have a
job?

6.
7.

Are you happy

with where you