Habit-Change Readiness Assessment form template
Based on the stages-of-change model, this scores whether you're contemplating, preparing or acting on a new habit. A confidence follow-up appears for the hesitant, and jumps route to Awareness, Preparation or Action support with a first micro-step.
What’s in the box
Stage scored
Your answers place you on the stages-of-change ladder.
Confidence check
A follow-up appears when self-belief looks shaky.
Micro-step
Each stage ends with one tiny action to take today.
Perfect for
- Health coaches
- Therapists
- Wellness apps
- Self-improvement
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