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Instructions:  Below you will find all the components you need to create an effective behavior management plan.  BE SURE TO ALLOW POPUPS ON THIS PAGE SO YOU CAN COMPLETE AND PRINT YOUR PLAN WHEN YOU HAVE CREATED IT.  If you want more detailed information on creating and implementing behavior change plans, please LOOK HERE for an extensive behavior management primer.  If you would like to sign up for our free occasional newsletter, navigate HERE.


Name of Participant:
Select the Plan Start Date:
<February 2012>
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If you add your own goals and rewards, be sure to go back to the drop-down list to select them before you hit Prepare Plan or your changes won't be added. You should be able to see all the parts on the form after you hit Prepare Plan. If it doesnt' look the way you want, just make the changes and hit Prepare again, then Print.
First Behavioral Goal

Second Behavioral Goal

Third Behavioral Goal


Daily Reward:

Weekly Reward


Positive Behavior Change Plan Tracker Form
NameHolder    Be sure to rate each behavior, each day. 3= almost no reminders. 2= some reminders, 1=needed lots of reminders to practice the behavior.

Monday Tuesday Wednesday Thursday Friday
Goal1holder          
Goal2holder          
Goal3holder          
Total Points:                    

Daily Reward
Weekly Reward

Please remember to help the participant focus on positive behaviors that replace the negative ones. Give specific, labeled praise for even small progress. Be sure that daily rewards are given as soon as they are earned.   Remember that this plan and scoring system are only tools to help you teach new behaviors and help the learner practice and acquire new skills.

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Useful Community Links

Digital Sucess Tools
American Psychological Association
National Institute of Mental Health