Personal Wellness Plan
Sign in to Google to save your progress. Learn more
Email *
Things to Consider
Are there issues related to past trauma in my family or culture that may affect the success of my plan?  
What strengths from my culture or family will help me succeed in my goal?
How might my childhood experiences affect the success of my goal?
My current family support is
The stressors and triggers I need to consider
What is the positive self-talk message I can use when I get triggered? Or, what is a “positive phrase” from a role model or an Elder I can say to myself when I get triggered?  
Clear form
Never submit passwords through Google Forms.
This form was created inside of StrataG. Report Abuse