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Chapter 24. Personal Action Plan > My Personal Action Plan

My Personal Action Plan

  1. Describe a recurring situation in which you need to provide critical feedback:

    Situations People Involved


    ___________________________________________________________

    ___________________________________________________________

    ___________________________________________________________

  2. When and where would be the best time for you to provide feedback?

    When Where


    ___________________________________________________________

    ___________________________________________________________

    ___________________________________________________________

  3. What specific behavior(s) would you like changed?

    ___________________________________________________________

    ___________________________________________________________

    ___________________________________________________________

    What are the results of the problematic behavior? ______________________

    ___________________________________________________________

    ___________________________________________________________

    How do you feel about the situation? ___________________________

    ___________________________________________________________

  4. What specific changes would you like to see as a result of providing this critical feedback?

    ___________________________________________________________

    ___________________________________________________________

    ___________________________________________________________

    What are you willing to do to help effect positive behavior change?

    ___________________________________________________________

    ___________________________________________________________

    ___________________________________________________________


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