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Growth Mindset?
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What is your #1 Health Goal?
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Style of Counseling Desired:
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What Health behavior are you proud of?
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What Nutrition behavior are you proud of?
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Very Short Term Goal (this week)
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Tiny Habit #1
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Short Term Goals (This month)
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Tiny Habit #2
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Long Term Goals (3 Months)
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Tiny Habit #3
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Green Dot (New Behavior/One time)
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Gray Dot (Decrease Behavior/One time)
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Green Span (New Behavior/Span of time)
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Gray Span (Decrease Behavior/Span of time
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Green Path (New Behavior/Longterm)
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Gray Path (Decrease behavior/Longterm)
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Blue Dot (Familiar behavior/New behavior)
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Black Dot (Stop behavior/One time)
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Blue Span (Familiar behavior/Span of time)
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Black Span (Stop behavior/Span of time)
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Blue Path (Familiar behavior/Longterm)
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Black Path (Stop behavior/Longterm)
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Purple Dot (Increase behavior/one time)
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Recommendations
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Purple Span (Increase behavior/Span of time)
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Challenges since last visit
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Purple Path (Increase behavior/Longterm)
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Progress since last visit
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