Generate My Healthy Future Questionnaire

Instructions:

What Do I Do?

1. Read the question.
2. Think about it for a moment.
3. Select the answer that best represents how you feel today about the topic.
4. Go to the next question.

After You Answer this Questionnaire (Step 1)… Go to HealthyTeenNetwork.org/Resources/GenerateMyHealthyFuture/ for the Generate My Healthy Future Guide, Journal, and more!

• 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!