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My reasons for change

Get clear on why change matters to you — in your own words — and what would make you more confident.

Fill it in online — freeThe print dialog can also save it as a PDF.

Getting started~10 minMotivational interviewing

My reasons for change

Get clear on why change matters to you — in your own words — and what would make you more confident.

Why this helps

In motivational interviewing, people are more likely to change when they voice their own reasons rather than hearing someone else's. The 0–10 importance and confidence 'rulers', and the question 'why not lower?', draw out motivation you already have (Miller & Rollnick).

1. The change I'm working on

Stopping drinking, eating regularly, not betting, getting out of bed and moving…

2. My most important reasons for making this change

List as many as you can — people, health, money, freedom, self-respect, the future.

3. How important is this change to me right now?

0 = Not at all01234567891010 = Extremely

4. Why did I pick that number, and not a lower one?

Your answer is the part of you that already wants this.

5. How confident am I that I can do it?

0 = Not at all01234567891010 = Completely

6. What would move my confidence up one point?

A person, a skill, a plan, a first small success?

7. A time I changed something hard before — and what helped me do it

8. If I make this change, what could my life look like a year from now?

From the Workbook on Amity Connect, via RecoveryHome.comFor reflection and practice — not a diagnosis or a substitute for professional care. In crisis, call or text 988.amityconnect.com/app/workbook/reasons-for-change
Keep your answers somewhere safe
This worksheet, online and private, on Amity Connect — free for individuals, built by the same team. Your answers stay yours; if you're with a recovery home that uses it, they can assign it to you and see only what you choose to share.
Open it on Amity Connect
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About this worksheet
It comes from the Amity Connect workbook, built by the same team as RecoveryHome, and is free to print and share. It's for reflection and practice — not a diagnosis, and not a substitute for professional care. Content is never written or edited by advertisers. If you're in crisis, call or text 988.

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My reasons for change — free printable worksheet · RecoveryHome