New Year Habit Builder Worksheet
Small Actions. Repeated Daily. Big
Change.
Name: ___________________________
Date: ___________________________
Step
1: Identify the Habit You Want to Build
One habit I want to develop this
year is:
Why this habit matters to my life,
health, purpose, or future:
Step 2: Make the Habit Small and Repeatable
The daily version of this habit will
be small enough to do even on my worst day.
My daily habit action:
Time of day I will do it:
Where I will do it:
Step
3: Attach It to an Existing Routine
I will do this habit immediately
after I have already done the following:
This existing routine happens every
day:
☐
Yes
☐ No. If not, choose a different anchor
Step 4: Anticipate Resistance
The most likely excuse or obstacle I
will face:
What I will do instead of quitting
when this happens:
Step
5: Create a Simple Reward
After completing my habit, I will
acknowledge it by:
This reinforces the habit and tells
my brain it matters.
Step 6: Track Consistency, Not Perfection
I commit to never missing two days
in a row.
☐
I understand that missing once is human
☐ I understand that missing twice creates
a new habit
Tracking method I will use:
☐
Calendar
☐ Notebook
☐ App
☐ Other: ___________________________
Breaking
a Habit That No Longer Serves Me
The habit I want to stop or replace:
What usually triggers it:
What I will replace it with instead:
What changes can I make to my
environment to make the bad habit harder:
Identity
Statement
Complete this sentence and read it
daily.
“I am the kind of person who
____________________________________________.”
One
Year From Now
If I stay consistent with this habit,
my life one year from today will look like:
Final Commitment
I am not chasing motivation.
I am building a pattern.
I will show up daily, even when it feels small.
Signature:
_______________________________
Date: _______________________________

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