IWP
Individual Wellness Plan
for Students

Print a copy of this and take it with you

Name_____________________________________________________

School____________________________________________________

Classroom Teacher___________________________ Grade__________

Starting date _________________________ Ending Date _________________________

Make a list of some ways that you would like to improve on your Wellness Plan in each area.



Physical Activity
1. ______________________________________________________________________________


2. ______________________________________________________________________________


3. ______________________________________________________________________________

Nutrition
1. ______________________________________________________________________________


2. ______________________________________________________________________________


3. ______________________________________________________________________________


Safety
1. ______________________________________________________________________________


2. ______________________________________________________________________________


3. ______________________________________________________________________________

Keep your (IWP) in a notebook or folder and check it at least once a week.

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