CHANGE PLAN WORK SHEET FOR                                     

 

DATE:                                    

 

The changes I want to make are:

 

 

 

 

 

 

 

 

 

The most important reasons why I want to make these changes are:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The steps I plan to take in changing are:

 

 

 

 

 

 

 

 

 

 

 

 

 


The ways other people can help me are:

PERSON

POSSIBLE WAYS TO HELP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I will know my plan is working if:

 

 

 

 

 

 

 

 

 

Some things that could interfere with my plan are: