12.07.2015 Views

Process - Physician - Fraser Health Authority

Process - Physician - Fraser Health Authority

Process - Physician - Fraser Health Authority

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Mental <strong>Health</strong> & AddictionsHEALTHY LIFESTYLE ACTION PLAN*MHXX*MHXX104077ARev: Jul 13/10Page: 1 of 2My Action Plan for a <strong>Health</strong>y LifestyleToday's date:My Primary <strong>Health</strong> Care Provider:My focus is on (check any or all):<strong>Health</strong>yeatingPhysicalactivity<strong>Health</strong>ychoices• Eating 7-10 servings of • Getting a minium of 30• Having a positive outlookfruits and veggies per dayminutes of exercise per day • Managing my stress levels• Eating from all food groups, • Doing endurance activities • Having social supportslimited fats and sugars(walking, running, sports)(family, friends)• Eating smaller portion sizes • Doing strength activities• Having fun and making time• Eating the right number of(lifting weights)for leisureservings• Flexibility activities• Getting adequate rest• Reading food labels• Drinking water(stretching, yoga)• Being smoke-freeTo improve my health I would like to:Goal #1Target:Support I need:Goal #2Target:Support I need:Goal #3Target:Support I need:Target date:Target date:Target date:

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