Patient Handouts s3
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Patient Handouts Page 1 of 1 Behavior Diary
The Misbehavior You Want to Change Describe the misbehavior you want to change:
Describe the behavior you want instead:
When the Misbehavior Occurs Date of occurrence: Time of day: Place (home, child care, etc.): People present: The Severity of the Misbehavior How bad (1 = mild, 5 = terrible)? For how long (minutes)? What was your child trying to achieve?
Consequences or Punishment What was your response to this misbehavior?
Was your response effective? If not, why not?
How many times did you correct your child today?
Patient handouts provided by Merck Medicus. Copyright © 2012-2013 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.