Behavior Change Contract

Name: ________________________________
Start Date: ________________

End Date: __________________

My long term behavior change that I would like to accomplish is:

I plan on reaching each of the following specific mini-goals and then my final goal as stated
below: (mini goals must be directly related to your behavior change)
Short term goal _____________________________________________ ______by______ (date)
Short term goal _____________________________________________ ______by______ (date)
Short term goal _____________________________________________ _____by ______(date)

My plan for keeping track of my behavior change includes the following methods: (chart,
calendar, journal recording and what specific information?)

I sign this contract as an indication of my personal commitment to reach my goal:

(My signature) ____________________________________________

date ________

Ti (30t) l fan cung ca c va Bayern 24 nm. Ti nhn thy rng bng c thng
t fan, tuoi i h cng ln, it i anti nhng i bng khc. Nhng do ny nhiu ngi
thuong ly BM di dim hng i khc, thy cng bun. Ti tin rng fan BM & c l nhng

ngi n ng c "chn chnh":), khng phi l nhng k tr tru. Sau ngy 9/4 mi th s
r. Ti khuyn cc bn ng nn anti cc clb Anh ( c bit la MU ) cho n khi c kqu trn
u, v a s ngi VN bit v chi bit bng Anh ( i ginh c 1 ci cup vng y tai
ting). C ln FC Bayern Munich!!!