Assignment 2 Rubric SMART ContractContent
Behavior contract completed
based off assignment 1 profile
or expressed behavior change
goal
Short and Long term goal
identified clearly with action
plan
Reward action plan that is
appropriate and well written
out for understanding
Identify what you would want
added to a behavior change
contract
Spelling, grammar, word choice,
no fragments
Total
Points
35
35
10
10
10
100
Points Earned
Personal Behavior Contract
Based on an awareness of my health status, I,
have decided to set the following behavior-related health goal, which will contribute to improve
my personal well-being.
My health behavior goal is
(long-term SMART goal)
The advantages of my achieving this goal are
The anticipated difficulties in taking positive action are
The behaviors I will adopt to accomplish this personal health goal are
(short-term SMART goals)
I will reinforce my actions by
and reward achievement of my goal by
If I fail to achieve this health improvement goal, I will forfeit this reward.
I,
, have reviewed this contact and
agree to be a part of a positive support system throughout this behavior change project.
Signed
Date
I have reviewed this contract and agree to take action to accomplish my goal and to discuss
the results with my positive advocate. Upon completion of this contract I will identify my next
area of opportunity and take further steps to improve my health status.
Signed
Date
specific
define goals quantitatively
attainable
realistic
time frame
create goals that motivate
set challenging
but realistic goals
set deadlines for
accomplishments
ultimate goal
Long-Term
clearly define desired outcome
measurable
stepping stones
Short-Term
Use these goals to help you complete your Personal Behavior Contract.
Assignment 2 Rubric SMART Contract
Content
Behavior contract completed
based off assignment 1 profile
or expressed behavior change
goal
Short and Long term goal
identified clearly with action
plan
Reward action plan that is
appropriate and well written
out for understanding
Identify what you would want
added to a behavior change
contract
Spelling, grammar, word choice,
no fragments
Total
Points
35
35
10
10
10
100
Points Earned
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