Problem-Solving Worksheet Template

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PROBLEM-SOLVING WORKSHEET
Name:____________________________________ Date: ______________ Visit #: ______________
Review of progress during previous week:
Rate how Satisfied you feel with your effort (0 – 10) (0 = Not at all; 10 = Super): ___ Mood (0-10): _____
1. Problem:
2. Goal:
3. Options/Solutions: 4. Pros versus Cons (Effort, Time, Money, Emotional Impact, Involving Others)
a)
a) Pros (+)
What makes this a good choice?
a) Cons
b)
b) Pros (+)
What makes this a good choice?
b) Cons
c)
c) Pros (+)
What makes this a good choice?
c) Cons
d)
d) Pros (+)
What makes this a good choice?
d) Cons
v. 9/1/2010

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