5 Stages Of Change Worksheet

Stages	Questions	Description	Notes
Precontemplation
	Why do you want to consider changing?
Contemplation	What are the benefits of changing current behavior?	Identify potential obstacles and ways to overcome them.
	What are the obstacles you might face in making this change?
Preparation
	What steps can you take to prepare for making this change?	Develop a plan of action, including setting specific, achievable goals.
	Who can support you in this process?
Action
	What specific actions can you take to make this change a reality?	Implement your plan and seek support when needed.
	How will you deal with setbacks or relapses?
Maintenance
	How will you maintain the changes you've made?	Reflect on your progress regularly and adjust your plan as needed.

You can download more Mental Health worksheets Here

Please note: There may be a more up-to-date and editable version of this worksheet available Here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.

References

1. Zimmerman GL, Olsen CG, Bosworth MF. A ‘stages of change’approach to helping patients change behavior. American family physician. 2000 Mar 1;61(5):1409-16.

2. Prochaska JO, Norcross JC, DiClemente CC. Applying the stages of change. Psychotherapy in Australia. 2013 Feb 1;19(2):10-5.