Professional Documents
Culture Documents
Module 3 Worksheet No 1
Module 3 Worksheet No 1
Behavior: Consequences Make a Plan meals Start the Practice Start the Have a Do yoga
Getting and changes schedule ahead of day with a yoga day with walk with
regular and a time healthy an exercise the dogs
physical weekly plan meal
activity, for physical
healthy activity
eating, and Past behaviors Start the day Start doing Do Go out and Eat well Practice Go out in
obtaining with an small activities expose self to and meditation the sunlight
daily sufficient exercise changes in and sunlight healthily and and walk
sleep meals for homework breathing the dogs
healthy ones in the exercises
morning
Techniques SMART goal Self-monitor Don’t Start using Start Go to bed Eat well
setting forget to small plates practicing 10-15
have a when eating meditation minutes
snack before early
sleeping
Habit Problem- Do not use Use Listen to Before Do not use Listen to
solving gadgets breathing relaxing going to gadgets relaxing
barriers hours before method to music to bed, read hours music to
going to easily sleep improve books before improve
sleep quality of going to quality of
sleep sleep sleep
Suggest healthy food changes Suggest healthy food Suggested a few Make inappropriate
including adding more grains, fruits changes including healthy food changes suggestions or does
and vegetables, and limiting fat, adding more grains, and in the suggested not suggest a menu for
sugar and salt and in the suggested fruits and vegetables, menu for 1 meal to 1 meal that is more
menu for 1 meal to make it more OR limiting fat, sugar make it somewhat nutritious than the
nutritious and salt and in the more nutritious original
suggested menu for 1
meal to make it more
nutritious
Stress Stressors were identified with an Stressors were identified Stressors were No sample training log
Management accompanied plan for with an accompanied identified. No is included
Plan management. plan that was lacking accompanied plan for
information for management was
management. given.
Identified 3 or more stress Identified 2 stress Identified 1 stress No stress management
management technique provided in management technique management technique provided
the plan provided in the plan technique provided in
the plan
Behavior Identifies a clearly defined and Identifies a goal but Goal is not appropriate No clear goal is stated
Modification measurable goal for his/her plan some of the for a behavior
components are not modification plan.
clearly defined and Goals would not result
measured in a change of
behavior
Clearly states a behavior he/she State a behavior, but States behavior he/she No clear behavior is
wishes to increase or decrease that doesn’t clearly define wishes to change, but stated that will help
would help him/her meet his/her who is in control and either the behavior is meet his/her goal.
goal. The behavior must be under how the behavior not in his/her control, or Does not correctly
his/her control. The behavior must be change will be it is not measurable. incorporates support
stated in measurable terms. measured. Correctly Vaguely incorporates and accountability,
Correctly and clearly incorporates incorporates support support and strategies and
support and accountability, and accountability, accountability, reinforcement of the
strategies and reinforcement of the strategies and strategies and behavior
behavior reinforcement of the reinforcement of the
behavior behavior