Change-Plan Worksheet

Changes I want to make:

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How important is it to me to make these changes? (1-10 scale): ___________________________
How confident am I that I can make these changes? (1-10 scale):__________________________
The most important reasons I want to make these changes are:

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The steps I plan to take in changing are:

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How other people can help me:

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I will know my plan is working when:

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Some things that could interfere with my plan are:

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