This form is for planning a health experiment with help from a coach. Ideally you can review it together to organize your plan. If going solo, we recommend using a template from a book or website. If you have questions for us about this form or your experiment, include them in Section 8 (comments). There are also opportunities to select "more suggestions" for certain parts of this form. Coming soon: templates to simplify choices and provide recommendations for popular experiment topics.

When you hit Send, your information gets emailed to us. We'll then convert it and invite you to view and edit a customized online Google Sheets log. Right now that takes a few days. This is all available as a free public service, and your participation will help us keep improving it. So thanks!
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SECTION 1: About You




FemaleMaleTransOther






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SECTION 2: Experiment Overview









SundayMonday

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SECTION 3: Support and Communications Plan

Safety note: check with a health professional before and during experiments if possible, especially if you feel sick or unsafe at any point.





















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SECTION 4: Completion Plan


No - all setYes




Example 1: If you plan to spend 4 hours per week, write "4 hours per week" and select "Weekly Average".
Example 2: If you plan to complete 40 total workouts, write "40 workouts" and select "Total Value".


No - all setYes












No - I'm all setYes

Potential Challenges


No - I'm all setYes







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SECTION 5: Results Logging

Qualitative Results

Would you like suggestions for qualitative results to track?
No - I'm all setYes










Quantitative Results


No - I'm all setYes












Some other quantitative variables are best logged as TOTAL AMOUNTS or AVERAGES. Examples: hours slept or vegetable servings eaten. Note any you plan to log and select how often you plan to log them (typically daily or weekly).


No - I'm all setYes










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SECTION 6: Reporting and Presenting


Teacher(s)Mentor(s)Coach(es)Classmate(s)Friend(s)Other (describe below)


YesNo


Completed formPresentationPaperPosterOther (describe below)


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SECTION 7: Follow-Up Plan


Using lessons learned to continue, expand, replace, or change itTaking steps to involve others in similar experimentsOther (describe below)


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SECTION 8: Feedback or Questions