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Commitment to my health
My agreement
Use this chart to help you decide on your wellness goals and plan how to get to the goals you choose. I, ________________________, agree to achieve the goals below to help improve my overall health and wellness.
Example
What I will do: I will learn all I can about diabetes so that I can take an active role in my care.
When I will start: I will start tomorrow.
How I will start: I will start by reading a new section of Cornerstones4Care.com each day until I have read all of them.
My barriers: I work long hours and am often short on time.
How I will overcome barriers: I will wake up 20 minutes early and read while I eat breakfast.
Your signature _______________________ Date __________
Friend’s signature _____________________ Date __________
