WEEKLY BEHAVIOR CHANGE "STAR CHART"


Name:

Date:

Target
Behavior

How
Often?

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Relaxation:

 

 

 

 
 

 

 
 

 

 
   
Exercise:

 

 

 

 
   

 

 

 

 
   
Nutrition:

 

 

 

 
   

 

 

 

 
   
Time Mgmt:

 

 
 

 

 
 

 

 
 

 

 
 
Sleep:

 

 

 

 
   

 

 

 

 
   
Pleasurable
Activity #1:

 

 

 

 
 

 

 

 

 
 

 

 

 

 
Pleasurable
Activity #2:

 

 
 

 

 
   

 

 

 

 

 

 
Interpersonal
Activity #1:

       

 

 
     
Interpersonal
Activity #2:

           

 

 
 
Daily Mood Logs/ Thought Records

 

 

 

 

 

 
 

 

 
 

 

 
 
Readings:

 

 

 

 
   

 

 
   

 

 
Mood Check (1-10;
1=Great; 10=Horrible)
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMENTS:

 


© 1998 James M. Boyers, Ph.D. & Bert H. Epstein, Psy.D.