1. Warning signs I will notice
List the changes you want to pay attention to in your own hauora.
Taha Tinana
Taha Hinengaro
Taha Whānau
Taha Wairua
2. My first three steps
- I will…
- Then I will…
- If I still feel heavy, I will…
3. Trusted people I can contact
At school
At home / in my whānau
In my hapori / wider community
Tip: Write full names and contact details. Ask permission to list someone if needed.
4. Services & helplines
Everyday supports
1737 – Need to talk?
Youthline 0800 376 633
Lifeline 0800 543 354
Emergency
111 – Emergency services
Local crisis team
School after-hours contact
5. Kupu manaaki I will use
Write short phrases that help you start a kōrero, seek help, or support a friend.
6. My commitments
What routines and tikanga will help keep my hauora in balance?
Daily / weekly practices
People I will update
Safety reminder
If I feel unsafe or someone else is in danger:
- Tell a trusted adult immediately.
- Call 111 for emergency services.
- Keep myself and others safe until help arrives.
Sign-off
Date completed:
Shared with: