Hi April,
I agree with the others about the short-term, concrete goals. A good practice for creating these goals is to make it reasonable, set a specific time period to achieve the goal, and have a plan for an appropriate (non-food related) reward to create positive feedback. I set weekly goals every Sunday. For example, one of my regular goals is to take my vitamins every day. Every day I take all my vitamins, I put a star sticker on a calendar I have just for my goals. (I know that seems a bit childish but it makes me smile and, hey, whatever works!) If I take them all 7 days, then I get to watch frivolous, just for fun, tv shows for 1 1/2 hours the next week. I limit myself to 3 goals a week and there is no punishment for not reaching my goal one week. I just move that goal to the next week and try again.
As for the big picture, I have written down my 6 big, long-term goals and a short reason why each one is important to me. These are the huge goals, like not needing medication for high blood pressure by the end of 6 months post-op. I have these goals, and the reasons, printed on the wall by my seat in the living room, as well as in my daily organizer. And in the front of my food journal. No matter what is happening I will see those goals at some point in my day and remind me
I hope any bit of this gives you something useful that will help you out in your on journey.