Generate My Healthy Future

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1 Generate My Healthy Future St. Paul Street Baltimore, MD Healthy Teen Network All rights reserved Suggsted Citation: Healthy Teen Network (2015). Generate my healthy future journal. Baltimore: Author. Volt is made possible (in part) by an independent grant from Merck 1

2 GENERATE MY HEALTHY FUTURE JOURNAL Write in your Journal online or in print: The Journal is your place to write down anything you want to keep track of and return to. This could be your answers to the reflection questions from the Guide, a note about something you read and want to remember, a goal, an action step you will take toward that goal, and/or a reminder to ask a trusted adult or health care provider for help. IT S YOUR PLAN IT S UP TO YOU TO SHARE OR NOT Whatever way you choose to do your Plan online or in print think about how you will keep your plan private, unless you want to share it with a trusted adult or a health care provider. You should NOT share your plan widely, or even with one or a few close friends. It s none of their business it s YOUR Healthy Future Plan. WRITE IT HERE! MY JOURNAL My name is. I generated my healthy future plan on when I was years old. 2

3 1. WHERE I LIVE (LIVING ARRANGEMENT) WHO CAN HELP ME REACH 3

4 2. RELATIONSHIPS AT HOME WHO CAN HELP ME REACH 4

5 3. ABUSE AT HOME WHO CAN HELP ME REACH 5

6 4. WHERE I LEARN & WORK (EDUCATION & EMPLOYMENT ARRANGEMENTS) WHO CAN HELP ME REACH 6

7 5. RELATIONSHIPS AT SCHOOL & WORK WHO CAN HELP ME REACH 7

8 6. VIOLENCE AT SCHOOL & WORK WHO CAN HELP ME REACH 8

9 7. MY HEALTH CARE WHO CAN HELP ME REACH 9

10 8. DISEASES WHO CAN HELP ME REACH 10

11 9. EATING WHO CAN HELP ME REACH 11

12 10. BODY IMAGE WHO CAN HELP ME REACH 12

13 11. MY IDENTITY WHO CAN HELP ME REACH 13

14 12. HOW I FEEL (EMOTIONS & MOODS) WHO CAN HELP ME REACH 14

15 13. HOW ACTIVE I AM (PHYSICAL ACTIVITY) WHO CAN HELP ME REACH 15

16 14. TOBACCO & NICOTINE USE WHO CAN HELP ME REACH 16

17 15. ALCOHOL USE WHO CAN HELP ME REACH 17

18 16. DRUG USE WHO CAN HELP ME REACH 18

19 17. SEXUAL ACTIVITY WHO CAN HELP ME REACH 19

20 18. MY INTIMATE RELATIONSHIPS WHO CAN HELP ME REACH 20

21 19. GOING ONLINE (MEDIA ACTIVITY) WHO CAN HELP ME REACH 21

22 20. HOW I SPEND MY FREE TIME (FUN ACTIVITY) WHO CAN HELP ME REACH Think about trusted adults or health care providers who might be able to help you. List them here. 22

23 FINAL REFLECTION WRAP IT UP Journal Any other thoughts or questions? NOW WHAT? RETURN TO YOUR PLAN WHEN YOU WANT TAKE CHARGE OF YOUR HEALTH! Step 1: Answer the 20 multiple-choice questions on the Questionnaire. Step 2: For each question, go to the section of the Guide that corresponds to it. Step 3: Go to the Journal to write your thoughts, goals, and/or action planning. Step 4: Return to the Questionnaire, Guide, and Journal when you want to look back or update your Healthy Future Plan. Remember, you do not have to complete your Healthy Future Plan in one session. There is no final exam. No deadline. This Plan is YOUR Plan, made at your own pace and time! 23

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