with your material life circumstances. Are you happy with your material life today? If so, why? (Use the spaces below.)
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My Nutrition Condition
Much like a car needs fuel to run, your body needs the energy provided by the foods you eat in order to function. And the higher the quality of “fuel” you give your body, the better it will run, and the better your overall health and wellness will be. Good nutrition involves consuming the right balance of carbohydrates, proteins, and fats, along with essential vitamins and minerals. As you begin to set your nutritional goals, you may want to build your knowledge about healthy eating and bring more awareness to your food choices (where your food comes from, how it is produced, how certain foods make you feel, etc.), then incorporate this information into your plan.
Begin where you are. Check off each item based on how you feel about it today.
My Five-Year Plan Goals Five years from now I’d like (fill in the blank next to the nutrition item listed.)
My Eating Habits to Be ________________________________________
My Sugar Intake to Be _________________________________________
My Fat Intake to Be ___________________________________________
My Vegetable Intake to Be ______________________________________
My Fruit Intake to Be __________________________________________
My Protein Intake to Be ________________________________________
My Carbohydrate Intake to Be ___________________________________
My Animal Products Intake to Be_________________________________
My Vitamin/Supplement Intake to Be _____________________________
My Water Intake to Be _________________________________________
My Salt Intake to Be ___________________________________________
My Processed Foods Intake to Be _________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
My _____________ to Be ______________________________________
How I Will Achieve My Nutrition Goals Now write specific actions you can begin to do to implement the changes you listed.
Within 3 – 6 Months I Will _____________________________________
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I’m Doing This Because ________________________________________
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Within 1 – 2 Years I Will _______________________________________
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I’m Doing This Because ________________________________________
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Within 3 – 4 Years I Will _______________________________________
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I’m Doing This Because ________________________________________
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Write, draw, or cut and paste pictures as indicated below.
My Favorite Foods
My Favorite Places to Eat
My Favorite Recipe (Paste or write in the space provided.)
In the next five years I would like to eat at
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Five years from now, if a restaurant named a dish after me, it would be called
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Five years from now I would like to be eating
| Less of This | More of This |
