My Wellness Plan

First Name____________________ Last Name______________________

Classroom Teacher________________________ Room Number__________

When you come to school check the Wellness activities that you 
completed the day before. 

                                   Sun.   Mon.   Tues.   Wed.   Thurs.

I took a bath yesterday.           ____   ____   _____   ____   _____

I brushed my hair this morning.    ____   ____   _____   ____   _____

I brushed my teeth this morning.   ____   ____   _____   ____   _____

I ate some fruit and vegetables.   ____   ____   _____   ____   _____

I dressed correctly for the weather____   ____   _____   ____   _____
yesterday.

I used a seat belt/bike helmet     ____   ____   _____   ____   _____ 
yesterday.

I had at least 15 minutes of       ____   ____   _____   ____   _____
Physical Activity.

I went to bed before 9:30 p.m.     ____   ____   _____   ____   _____

Please answer these questions on Friday.

1.  Which one of the Wellness items was the hardest for you?

____________________________________________________________

2.  How did this Wellness Plan help you?

____________________________________________________________


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