North Dakota K–6 health standards

North Dakota writes its own health standards. They are published as North Dakota Health Content Standards, adopted 2026 and are not a version of a national framework. Every one is matched to a national standard.

CSP's 'Health (2008-)' family and NDDPI's 2020 CASE package are both superseded; the current adoption is the 2026 PDF (committee completed April 2026). Extracted from that PDF. Sex education omitted per Doctrine #6 at extraction time (5 rows dropped: 4.HC.3, 5.HC.4, MS.HC.5, MS.HC.6, MS.HC.7). MS (middle-school 6-8) set filed at grade 6. Re-run the extractor after any re-fetch.

Framework: North Dakota Health Content Standards
Adopted: 2026
Source last checked: August 1, 2026

Read the official document

89 standards, kindergarten through 6th grade

K.HC.1K
Identify examples of each basic dimension of wellness (e.g., physical, mental, social).
K.HC.2K
Recognize ways to prevent or reduce risks of illnesses and injuries.
K.HC.3K
Identify behaviors that show kindness and respect in relationships.
K.AI.1K
Recognize factors that influence health.
K.AE.1K
Identify trusted adults and other individuals who support health (e.g., family members, friends).
K.C.1K
Demonstrate ways to express kindness and compassion.
K.C.2K
Recognize ways to communicate and respect the boundaries of self and others.
K.GS.1K
Identify a goal that supports health.
K.DM.1K
Identify healthy choices (e.g., nutrition, use a bicycle helmet, hand washing).
K.SM.1K
Identify health behaviors to avoid or reduce risk (e.g., hand washing after using the bathroom or before eating).
K.A.1K
Request assistance to support personal health (e.g., ask for a break, ask for help).
1.HC.11
Describe health-promoting behaviors for physical, mental, and social health (e.g., brushing teeth, eating nutritious food, wellness checkups, wearing helmets).
1.HC.21
Identify ways to prevent or reduce risks of illnesses and injuries to self.
1.HC.31
Describe the difference between friendly/ helpful behaviors and unfriendly/hurtful behaviors in relationships.
1.AI.11
Identify how different factors influence personal health.
1.AE.11
Identify trusted adults at school and in the community (e.g., teacher, nurse, police officer, principal).
1.C.11
Demonstrate ways to express thoughts, feelings, wants, and needs to support the health of self.
1.C.21
Identify ways to communicate and respect the boundaries of self and others.
1.GS.11
Identify actions that support reaching a health-related goal.
1.DM.11
Identify options when making a health-related decision.
1.SM.11
Demonstrate health behaviors to avoid or reduce risk (e.g., eating fruit and vegetables, getting enough sleep, brushing teeth).
1.A.11
Identify a variety of ways to support others in making health-promoting choices (e.g., offering a tissue to a classmate, asking for a snack if hungry).
2.HC.12
Explain why health-promoting behaviors are important for well-being.
2.HC.22
Identify ways to prevent or reduce risks for illnesses and injuries to self and others.
2.HC.32
Identify behaviors of healthy relationships.
2.AI.12
Describe how different factors influence health.
2.AE.12
Demonstrate when and how to seek help from others at home, at school, or in the community.
2.C.12
Use active listening skills in a variety of situations.
2.C.22
Identify communication skills and strategies to use if uncomfortable, unsafe, or harmed.
2.GS.12
Initiate steps to achieve a health-related goal.
2.DM.12
Identify consequences of health-related choices.
2.SM.12
Demonstrate health and safety routines (e.g., bedtime, decrease screen time, use a seatbelt).
2.A.12
Encourage others to make health-promoting choices (e.g., choosing healthy options, reminding peers of safety rules, practicing handwashing routines together).
3.HC.13
Describe how health-promoting behaviors impact the dimensions of wellness (e.g., physical, mental, social).
3.HC.23
Describe ways to prevent or reduce risks of illnesses and injuries.
3.HC.33
Identify behaviors of healthy and unhealthy relationships.
3.AI.13
Explain how family, peers, and environment influence the health of self and others.
3.AE.13
Demonstrate which trusted adults and health resources are appropriate in various situations.
3.C.13
Use active listening skills and strategies in a variety of situations.
3.C.23
Demonstrate communication and refusal skills to use if uncomfortable, unsafe, or harmed.
3.C.33
Recognize strategies to prevent conflict in simple situations.
3.GS.13
Set a goal and explain how the goal supports health.
3.DM.13
Describe how healthy decisions influence personal health.
3.SM.13
Recognize practices and behaviors that support the health of self and others.
3.A.13
Identify advocacy skills and strategies to support health.
4.HC.14
Explain ways to practice health-promoting behaviors, including how to manage health conditions.
4.HC.24
Describe ways to prevent or reduce risks for illnesses and injuries to self and others.
4.HC.44
Explain how healthy and unhealthy relationship behaviors influence the health of self and others.
4.AI.14
Explain how different factors can influence health choices of self and others.
4.AE.14
Describe home, school, and community resources and how they support health.
4.C.14
Use verbal and nonverbal communication skills to build understanding.
4.C.24
Demonstrate how to seek and/or offer help to support the health of self and others.
4.C.34
Recognize strategies to prevent and manage conflict in simple situations.
4.GS.14
Identify supports and barriers that influence progress toward a health-related goal.
4.DM.14
Choose a health-promoting option in a health-related situation and explain why it is a good choice.
4.SM.14
Determine appropriate situations for practices and behaviors that support the health of self and others.
4.A.14
Describe how collaboration and communication support advocacy.
5.HC.15
Examine how health knowledge supports health.
5.HC.25
Explain ways to prevent or reduce risks of illnesses and injuries.
5.HC.35
Explain when and why it is important to seek health care.
5.HC.55
Identify patterns of unhealthy relationship behaviors and identify strategies to respond or seek help.
5.AI.15
Apply knowledge of influences to make healthy choices for self and others.
5.AE.15
Determine the validity of health information, products, and services.
5.C.15
Use effective communication skills to support the health of self and others.
5.C.25
Demonstrate skills to communicate and respect personal limits and the limits of others.
5.C.35
Identify strategies to prevent and manage conflict in peer or group situations.
5.GS.15
Develop a plan to achieve a health-related goal.
5.DM.15
Choose a health-promoting option in a health-related situation and reflect on the results of that choice.
5.SM.15
Use strategies and resources to manage influences that impact health.
5.A.15
Demonstrate how to advocate for health.
MS.HC.16
Describe how the dimensions of wellness in adolescence influence overall wellness.
MS.HC.26
Describe ways to prevent injury and adolescent health problems.
MS.HC.36
Explain how health care can contribute to personal health (e.g., preventative care, medical treatment, health services).
MS.HC.46
Explain the stages of social, emotional, and physical growth and development during adolescence. (NDCC 15.1-21-01)
MS.HC.86
Compare characteristics of healthy and unhealthy relationships with family, peers, and other adults.
MS.AI.16
Analyze how influences impact health, behaviors, and well-being (e.g., family, peers, culture, social media, technology, personal values).
MS.AE.16
Analyze valid and reliable sources of health information, products, and services.
MS.AE.26
Recognize examples of misinformation and disinformation.
MS.C.16
Demonstrate effective verbal and nonverbal communication skills to enhance health.
MS.C.26
Demonstrate refusal skills to enhance health.
MS.C.36
Demonstrate effective conflict management and resolution strategies to enhance health.
MS.GS.16
Assess personal health practices.
MS.GS.26
Develop a goal to support health and well-being
MS.GS.36
Apply the strategies and skills needed to attain a personal health goal.
MS.DM.16
Apply a decision-making process in health-related situations.
MS.SM.16
Identify behaviors and practices that contribute to the health of self and others.
MS.SM.26
Explain how personal responsibility for health behaviors impacts overall health.
MS.A.16
Promote health-enhancing behavior with the support of valid health information.
MS.A.26
Demonstrate self-advocacy skills to support positive health outcomes.

North Dakota K–6 health standards

North Dakota’s other subjects