Q1
I'm measuring how I'm doing so I can adjust if needed
Strongly Disagree
Neutral
Strongly Agree
Q2
I have specific and measurable change goals
Strongly Disagree
Neutral
Strongly Agree
Q3
I am a person of habit. I struggle with change
Strongly Disagree
Neutral
Strongly Agree
Q4
Staying as I am is just not an option
Strongly Disagree
Neutral
Strongly Agree
Q5
Those I'm closest to are supporting me in this change
Strongly Disagree
Neutral
Strongly Agree
Q6
This change reflects the kind of person I am
Strongly Disagree
Neutral
Strongly Agree
Q7
I'm honest with myself even when I don't like the answer
Strongly Disagree
Neutral
Strongly Agree
Q8
I know how I will avoid the temptation to fall back
Strongly Disagree
Neutral
Strongly Agree
Q9
I'm ready to learn and try something different
Strongly Disagree
Neutral
Strongly Agree
Q10
I feel excited about what this change will mean for me
Strongly Disagree
Neutral
Strongly Agree
Q11
Making this change feels scary
Strongly Disagree
Neutral
Strongly Agree
Q12
I know how I will get there with this change
Strongly Disagree
Neutral
Strongly Agree
Q13
Failure is an opportunity to learn
Strongly Disagree
Neutral
Strongly Agree
Q14
I regularly take time to reflect and adjust
Strongly Disagree
Neutral
Strongly Agree
Q15
I struggle to make changes stick for the long term
Strongly Disagree
Neutral
Strongly Agree
Q16
I'll have to give up something I enjoy
Strongly Disagree
Neutral
Strongly Agree
Q17
I have made myself a detailed plan of the things I need to do
Strongly Disagree
Neutral
Strongly Agree
Q18
I have a lot going on in my life so time is always a challenge
Strongly Disagree
Neutral
Strongly Agree
Q19
The timing of this change is perfect
Strongly Disagree
Neutral
Strongly Agree
Q20
I'm confident I can fit this in around the other parts of my life
Strongly Disagree
Neutral
Strongly Agree
Q21
Routine is an important part of change
Strongly Disagree
Neutral
Strongly Agree
Q22
I know how I'll reward myself for progress
Strongly Disagree
Neutral
Strongly Agree
Q23
I know how I'll measure progress each day or each week
Strongly Disagree
Neutral
Strongly Agree
Q24
I can't wait any longer, I must make this change now
Strongly Disagree
Neutral
Strongly Agree
Q25
I have or can get the new knowledge and skills I need
Strongly Disagree
Neutral
Strongly Agree
