ARU Behavior Change Contract Contemporary Problems in Personal and Community Health Questions – Description
you. will answer the following questions
Behavior Change Contract
Be sure to complete all portions of the activity. This includes defining your overall goal and three incremental goals; logging three benefits to achieving the goals, three barriers to achieving the goals, and three strategies for overcoming those barriers; signing the contract; and rating how important the change is to you and your confidence that you can make the change.
Behavior I want to change:
My goal:
Remember that your goal should be SMART: specific, measurable, attainable, realistic, and time-bound.
I will achieve my goal by:
Along the way, I will create a series of smaller, incremental goals to help me reach my overall goal:
Incremental goal 1:
Target date:
Incremental goal 2:
Target date:
Incremental goal 3:
Target date:
Benefits associated with this behavior change:
1
2
3
Barriers I expect to encounter:
1
2
3
Strategies for overcoming these barriers:
1
2
3
Your signature:
Date:
Witness signature:
Date:
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