This document is designed for students to complete and share with pertinent adults in their life (teachers, family members, etc.). It is organized into two tasks:
- Task 1: Create a well-being plan. Students would reflect on the categories in the first two columns and then complete the last two columns, “What Can I Do To Support My Well-Being,” and “Adults in My Life that Support Me.”
- Task 2: Identify warning signs and triggers and strategies to try. Students would reflect on each emotion listed and complete the last two columns, “Warning Signs and Triggers,” and “Strategies I Might Try to Feel Better and More Like Myself.”
It is recommended that an electronic version of this document is provided to students to complete as ongoing reflection and updates are encouraged. This allows students ongoing opportunities for self-discovery and reflection by assessing their well-being as well as identification of strategies to support their well-being.
Once completed, students should bookmark or print and post this document so it is easily accessible to remind them to be proactive and to use as emotions arise.
Student well-being plan
Task 1
We want to be our best self, and to be our best self, we need to learn more about our overall well-being.
Complete the table below by filling in the following columns:
- What Can I Do to Support My Well-Being
- Adult(s) in My Life that Support Me
Examples:
- Focus Area: Relationships
- Focus Area Explanation/Details: How I create and maintain healthy connections with others
- What I can do to support my well-being: Smile and laugh, Ask questions and listen, Invite and include others
- Adult(s) in my life that support me: My track coach, My family
- Focus Area: Emotions
- Focus Area Explanation/Details: How I express emotions and receive others’ emotions in a healthy way
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: Core Values
- Focus Area Explanation/Details: How my personal values influence my choices and sense of purpose and meaning
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: Rest, Relaxation, and Play
- Focus Area Explanation/Details: What I do to renew myself and stay balanced
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: Stress Management
- Focus Area Explanation/Details: What I do to positively respond to challenges or setbacks
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: Health
- Focus Area Explanation/Details: What I do to stay healthy
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: Organization
- Focus Area Explanation/Details: What I do to keep track of my stuff, time, and priorities
- What I can do to support my well-being:
- Adult(s) in my life that support me:
- Focus Area: School/Work
- Focus Area Explanation/Details: What I do to continue to learn and grow
- What I can do to support my well-being:
- Adult(s) in my life that support me:
Task 2
Sometimes we may not feel like ourselves. Or we may have a day where it feels like everything is going wrong. When this happens, what do you do? How do you respond?
Complete the table below by filling in the following columns:
- Warning Signs and Triggers
- Strategies I Might Try to Feel Better and More Like Myself
A blank row is provided for you – you do not have to fill this in. The blank row is there for you to use if there is an emotion or feeling that is not listed. Feel free to add additional rows as needed.
Icons could be added for elementary students to help them identify the emotion and/or responses.
Examples
- Emotion/Feeling: Tired
- Warning Signs and Triggers: Hard time focusing, Not paying attention/daydreaming, Putting my head down
- Strategies I Might Try to Feel Better and More Like Myself: Set a schedule/go to bed earlier, Turn off device/keep device in a different room
- Emotion/Feeling: Angry
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Sad/Lonely
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Worried/Anxious
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Frustrated
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Overwhelmed
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Defeated/Feeling like you are not good enough/Feeling like you can’t do your work
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
- Emotion/Feeling: Drained/Exhausted
- Warning Signs and Triggers:
- Strategies I Might Try to Feel Better and More Like Myself:
Resources adapted from: Wisconsin Department of Public Instruction & Social Emotional Workshop