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Decisional Balance Worksheet

Decisional Balance Worksheet

Q The Decisional Balance Worksheet is a tool that can quickly and easily give you a place to see factors that may be influencing your current behaviors and how motivated you are to make lifestyle changes. This form is ideal to use before you commit to a process. In this assignment, you will explore what your barriers and motivations are for trying to achieve a wellness goal you have. The worksheet will help you to ascertain if the goal you are trying to achieve is too broad or too daunting. If that is the case, try to whittle down the goal until it is something that you know you can achieve. To complete the assignment: 1. Download the Decisional Balance Worksheet template Actions . (If you are not able to download the worksheet, please recreate your own Decisional Balance Worksheet based on the example below. Fill in your own goal and answers to each question. You can then take a picture and upload the image to submit the assignment.) 2. After the words Goal:, type the specific lifestyle change you’d like to make. 3. Type out your answers to the questions for each box in each box. Go in counter-clockwise fashion from Box 1 to Box 4. 4. Based on your answers, rate your willingness to take action on your goal using the readiness Ruler scale from 1 to 10. Type the number in the space below the boxes. If you score below a 5 on the Readiness Ruler, reconsider your targeted change. Decisional Balance chart example Not Changing Behavior Changing Behavior Box 1: What is something good that could come from not taking this action? Box 4: What is something good that could come from taking this action? • I can keep drinking lots of soda • I don't have to worry about keeping track of water consumption • I don't have to drink water - not a fan • I will have less headaches • My skin will clear up more • I will have more energy • I won't be as hungry • I might learn to like water Box 2: What is something bad that could come from not taking this action? Box 3: What is something bad that could come from taking this action? • daily headaches will continue from not being hydrated • snacking will be higher if I am trying to solve my body's need for hydration with food • low energy during the day • My headaches will continue • I won't be as energetic during the day • I will never develop the habit of hydrating better 5. Save your file and then submit it (Links to an external site.). Below you can see an example of a completed Decisional Balance Worksheet. Goal: Trying to increase my water consumption to two 8 oz bottles a day. Readiness to Change: PreviousNext

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Goal: Be fitter and eat healthily. Not Changing Behavior Changing Behavior What is something good that could come from not taking this action? What is something good that could come from taking this action? That I could still eat my favorite dishes I would change my physical and mental state. I would have more energy and feel healthier