Create Your SMART Goal
Get started with goal setting, I like to do a short term and a long term goal with mini goal celebrations scheduled in along the way!

S- Specific
M- Measureable
A- Attainable
R- Relevant
T-Time-Bound
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Email *
Name *
Phone Number
Date of Birth
MM
/
DD
/
YYYY
What is your 10 Day Goal? *
What will you do in celebration when you achieve this goal? *
What is your 20 Day Goal? *
What will you do in celebration when you achieve this goal? *
What is your 30 Day Goal? *
What will you do in celebration when you achieve this goal? *
What is your 6 month Goal? *
What will you do in celebration when you achieve this goal? *
How do you feel right now? Overall *
How does your body feel right now? *
Painful
Blissful
How is your digestion right now? *
Unfomfortable every day and quite irregular
Happy as a clam and regular as a clock!
How is your energy level right now? *
Angry Sloth
Happy Puppy
How does your mind feel right now? *
Depressed
Blissful
Think in terms of mental/emotional clarity and happiness.
Use this next space to journal any additional body, mind, personal, life, work feelings or issues you have. Good and bad! *
A copy of your responses will be emailed to the address you provided.
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