HTML Preview IMR Goal Tracking Sheet page number 2.
Example of an IMR Goal Tracking Sheet
Name: Date that Long-term Goal was Set:
Long-term (Meaningful) Goal:
Achieved (date): Modified* (date):
* Start a new Goal Tracking Sheet if the Long-term Goal is modified or a new goal is set
Short-term Goals (place a √ after steps achieved):
1. Lose weight 2. Improve hygiene 3. Improve conversations
Steps Steps Steps
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
Start date: Start date: Start date:
Date reviewed: Date reviewed: Date reviewed:
Achieved: Fully Achieved: Fully Achieved: Fully
Partially Partially Partially
Not at all Not at all Not at all
Modified/Next Steps: Modified/Next Steps: Modified/Next Steps:
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.