Beside each item, write the number that best describes how big a problem it is to you:

1. no problem
2. sometimes prevents me from enjoying myself
3. big obstacle – always gets in my way

__ I don’t feel like doing anything

__ I don’t have enough money to get involved

__ homework takes up most of my spare time

__ there are no/few recreation facilities in my community

__ I don’t have any creative or artistic skills

__ I don’t know how to get involved

__ I can’t make up my mind about how to spend my time

__ I never follow through on the plans I make

__ I might get hurt

__ my job takes up my free time

__ I don’t know what to do or what I enjoy

__ I don’t have any physical/sports skills

__ I don’t like learning new things

__ I probably wouldn’t be good at new activities

__ I have no one to do things with

__ my family plans my time for me

__ I have a disability that limits me

__ my friends would make fun of me

__ __________________________________

__ __________________________________

__ __________________________________

List your major obstacles (ratings 2 and 3).

Circle items that you have control over and identify ways of overcoming them.

Obstacles

What could I do about them ?

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