HCA Guides & Worksheets

Worksheets, resource documents and links relating to health coaching are provided in this section.

If you would like to add a resource document or a link to the HCA website, please submit a General Enquiry and attach your document or link. Please note that we take copyright very seriously. Do not submit any downloadable resources that you do not have copyright for.

Current Versions of HCA Worksheets

* HCA is happy for individual practitioners or organisations to use these worksheets as long as they are printed with the HCA logos and copyright information intact. If you wish to dual brand these worksheets with your own logo, please contact us for further information.  

General

• Gale, J (2010). The HCA Model: An integrated model of health behaviour change for chronic disease prevention and chronic disease self-management. (PDF 144kb)
• HCA Model of Health Coaching - 1 page overview (PDF 57kb)

Health Coaching Session Recording, Reporting & Program Evaluation

• HCA Initial Session Record (PDF 24kb)
• HCA Initial Session Record - Instructions (PDF 85kb)
• HCA Review Session Record (PDF 23kb)
• HCA Review Session Record - Instructions (PDF 85kb)  
• HCA Techniques & Data Recording Guide (PDF 76kb)
• HCA Program Results Reporting Template (PDF 104kb)
• HCA Template for Letter to GP following HC session (PDF 53kb)
• HCA Sample Letter to GP following HC session (PDF 18kb)

Health Coaching Skills Development Exercises

• HCA Skills Consolidation Review Questions(Word 40kb) **
• HCA Health Coaching Client Case Template (Word 41kb) **
• HCA Health Coaching Client Case Example - Bob IGT (PDF 83kb) **
• HCA Audio Tape Skills Development Exercise (Word 71kb)

    ** Preparation Exercises for Review & Update workshop. 

HCA Practice Guides & Flowcharts

A. HCA Model Flowcharts & Diagrams

• HCA 10 Steps to Health Behaviour Change (PDF 48kb)
• HCA Pathway to Better Health (PDf 24 kb)
• HCA Model Components Diagram (PDF 54kb)
• HCA Model Context Diagram (graphic representation) (PDF 378kb)
• HCA 10 Steps to Health Coaching - flowchart (PDF 478kb)
• HCA 10 Steps Plus Techniques  (PDF 49kb)
• HCA Order of Use of Techniques(PDF 39kb)

B. Other Practice Guides

• HCA RIC Rules (PDF 99kb)
• HCA Review Session Guidelines (PDF 53kb)
•  HCA Program Options Menu (PDF 57kb)
• HCA Decisional Balance Script (PDF 74kb)
• HCA Decisional Balance Prompt Sheet (PDF 45kb)

Sample Goal Hierarchies

• HCA Sample Goal Hierarchy - Weight Management (PDF 25kb)
• HCA Sample Goal Hierarchy - Nutrition Management (PDF 24kb)
• HCA Sample Goal Hierarchy - Activity Management (PDF 25kb)
• HCA Sample Goal Hierarchy - Energy & Sleep Management (PDF 25kb)
• HCA Sample Goal Hierarchy - Stress & Mood Management (PDF 27kb)
• HCA Sample Goal Hierarchy - Alcohol Management (PDF 25kb)
• HCA Sample Goal Hierarchy - Smoking Management (PDF 26kb)
• HCA Sample Goal Hierarcy - Reducing Cancer Risk (PDF 58kb)
• HCA Sample Goal Hierarchy - HCA Health Coaching Skills Development (PDF 76kb)
• HCA Sample Goal Hierarchy - Healthy Pregnancy (PDF 48kb)
• Pain Management (PDF 26kb) - donated by Physiotherapist Karine Hales 
• Pain Management 2(PDF 12kb) - donated by Psychologist Dr Joel Obeso (USA)

Worksheets

A. Agenda Setting Tools:

• HCA Agenda Setting Pictorial Worksheet - Generic (PDF 25kb)
• HCA Agenda Setting Pictorial Worksheet - Dental (PDF 195kb)
• HCA Health Profile - Importance & Confidence Version (PDF 239kb)
• HCA Health Profile - Importance & Satisfaction Version (PDF 139kb)

B. Goal Setting & Action Planning Tools:

• HCA Healthy Goals Action Plan - Version 1 (PDF 50kb)
• HCA Healthy Goals Actions Plan - Version 2 (PDF 50kb)

C. Tracking & Monitoring Tools:

• HCA Medication Diary (PDF 54kb)
• HCA Daily Health Diary - General (PDF 34kb) 
• HCA Daily Health Diary - Diabetes (PDF 27kb)
• HCA Habit Change Diary (PDF 45kb)
• HCA Habit Change Diary - Example (PDF 54kb) 
• HCA Weekly Goals Checklist (PDF 44kb)

D. Cognitive Change Tools:

• HCA Change Your Mind Worksheet (PDF 21kb)

E. Decisional Balance Tools:

• HCA Decision Balance Quadrant Worksheet (PDF 38kb)
• HCA to Change or Not to Change Worksheet (PDF 42kb)

Client Handouts

• HCA Messy Head Syndrome Cartoon (PDF 266kb)
• HCA Goal Mountain Cartoon (PDF 165kb)
• HCA The Perfect Composite Poem (PDF 114kb)
• HCA Trial & Error (PDF 42kb)

Worksheets and information donated by other Practitioners

• Non Hungry Eating - Rick Kausman (PDF 24kb)
• Hydration Reminder Sheet - Launa Schilling (PDF 89kb)
• Performance Profile - Andrew Dawson (PDF 52kb)
• Personal Time Study Worksheets - Jo Basri (PDF 83kb)
• Promoting Physical Activity in Primary Care - Jo Basri (PDF 1.23mb)
• Weekly Meal Shopping Planner - Jo Basri (PDF 25kb)
• Promoting Movement in Stages - Jo Basri (PDF 48kb)
• Health Coaching Model vs Traditional Care Model - Jo Basri (PDF 153kb)  
• The Activity Pyramid - with gentle exercise for older clients - Sophie Morris (JPG 839kb)