Behavior Change Contract
My behavior change will be ______________________________
A) Personal Statement of why you are choosing this behavior modification and why this will benefit your overall health. Keep in mind it can be for your social, emotional, physical, spiritual or mental health. (1 paragraph)
B) I plan to take the following steps to implement my behavior change;
1._______________________________________________________________
2._______________________________________________________________
3._______________________________________________________________
4._______________________________________________________________
C) Strategies I have for keeping on my plan;
1._______________________________________________________________
2._______________________________________________________________
3._______________________________________________________________
D) I plan to reward my success by
1._______________________________________________________________
2._______________________________________________________________
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