Tick Sheet
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ABCDEFGHIJKLMNOPQRSTUVWXYZ
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My goal (e.g. ‘to eat more fruit and vegetables’):
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My plan (e.g. ‘after I have lunch at home I will have a piece of fruit’):
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(When and where): ___________________________ I will: ___________________________
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Week 1Week 2Week 3 Week 4Week 5Week 6Week 7Week 8Week 9Week 10
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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Done on >5 days? Yes or no?
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How automatic does the habit feel? Rate on a scale from 1-10
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Full credit to Dr. Benjamin Gardner and collegeues: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505409/
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