Objective : The purpose of this study is to investigate the effects of goal setting on Activities of Daily Living(ADL), occupational performance, and anxiety level in acute stroke patients. Methods : This study was carried out on 10 stroke patients. The study used a pretest/post-test control group design. The intervention was provided to both groups for 30 minutes a session, for 10 sessions, and provided an upper-extremity self-training program. The experimental group set specific goals, while the control group did not. Modified Barthel Index(MBI) and Canadian Occupational Performance Measure(COPM) were used to evaluate the ADL. State-Trait Anxiety Inventory(STAI) was used to evaluate the anxiety level preand post-experiment. Results : Statistically significant differences were found in MBI, COPM-P, and COPM-S(p<.05 respectively) after intervention. As a result of STAI, both groups did not show a significant difference in anxiety level(p>.05). During each intervention, a statistically significant correlation of anxiety level was not found in the experimental group(rs=.012, p>.05). Conclusion : The results of this study suggest that goal setting, which improves the motivation and participation of acute stroke patients during intervention, has a positive impact on ADL. We also suggest further study reflecting the anxiety factors of the patients during goal setting.