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Begin Your Behavior Change Blueprint
14
Questions
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1
Email
This is where we will send your "Accountability contract"
example@example.com
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2
What is your goal?
Try to be as specific as possible
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3
Why do you consider this goal worthy?
What has motivated you to make this change?
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4
What milestones must you hit on the way to achieving your goal?
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5
What repeated action/actions will you take to achieve your goal?
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6
How can you make this change as effortless as possible?
What could you change in your environment to make working on the goal frictionless? How could you make it more rewarding?
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7
How long do you think this will take?
what date would you like it to be completed by?
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Date
Year
Month
Day
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8
If you've tried to achieve this goal previously, what stopped you from completing it?
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9
What problems do you anticipate facing?
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This field is required.
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10
How will you combat these challenges?
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11
How do you anticipate feeling when it's completed, how will you celebrate?
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12
Upon the completion of you goal, what charity would you like to donate to?
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13
How much do you pledge to donate?
(in $ or currency equivalent)
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14
Signature
This will be placed at the bottom of your "accountability contract"
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