Action
What do you see when you picture yourself doing a Basics action that you don't usually do?
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When and where will you do it next?
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Benefits
How will the activity benefit you and your child?
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How will it make you feel?
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Challenges
What challenges could get in the way of following through?
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What steps could you take to overcome these challenges?
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Name
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First Name
Last Name
Email Address
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Phone Number
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Area Code
Phone Number
Signature
Sign your name as a promise to keep these goals
Submit
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