NAME:______________________
14 DAY BEHAVIOR CHANGE - JOURNAL ENTRIES OF PROCESS/EXPERIENCE
(14 Day Journal = 30 POINTS)
 Enter / Answer / Reflect for Each Day of your 14 Day Journey
 Enter this DATA into a Word Document – Print & Turn In or SUBMIT to ebackpack ON TIME
 Scoring Measures for Each Day’s Entries:
Excellent
Average
No Effort
Value
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Day 11
Day 12
Day 13
Day 14
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Very Detailed (2)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
Met Requirement (1)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
No Effort (0)
2
2
2
2
2
2
2
2
2
2
2
2
2
2
GIVE YOURSELF
TWO BONUS POINTS
FOR GETTING IT TURNED
IN ON TIME:
2
TOTAL:
TOTAL:
TOTAL:
TOTAL:
30 Points
Journal Entries
WRITE YOUR GOAL HERE (From Your Outline):___________________________________________________________
(FOR FULL CREDIT) FOLLOW THIS TEMPLATE / FORMAT FOR EACH OF YOUR 14 DAY JOURNALS
(Example) Day #1:Date: _Monday, November 5th
1. What did you do today that contributes toward your behavior change? (2 Bullet Points)
 One Phrase, Thought, or Sentence
 One Phrase, Thought, or Sentence
2. How does working toward this goal make you feel right now? (2 Bullet Points)
 One Phrase, Thought, or Sentence
 One Phrase, Thought, or Sentence
3. What could you have done differently today? (2 Bullet Points)
 One Phrase, Thought, or Sentence
 One Phrase, Thought, or Sentence
4. What is my plan of Attack for tomorrow? (2 Bullet Points)
 One Phrase, Thought, or Sentence
 One Phrase, Thought, or Sentence
5. Any other Comments on your Day? (Optional)
 Copy and Paste the above Template & REPEAT THIS JOURNAL FOR 14 DAYS