Behaviour Modification Therapy Worksheet

What is the theory behind this Behaviour Modification Therapy Worksheet?

Behavior Modification Therapy is used to reduce and replace negative behaviours with helpful or desirable behaviours in people of all ages. It is based on the operant conditioning theory of B.F skinner which proposes that the chances of a behaviour occurring increase if the outcome is good and decrease if the outcome is negative. 

How will the worksheet help?

The worksheet will provide a template for a behaviour modification chart that can help adults seeking to adopt healthy habits to lose weight. It will help them set achievable targets, plan helpful behavioural strategies and decide how they can reward small and big victories along the process. The rewards will ensure healthy behaviours are repeated. 

How to use the worksheet?

Write down your weight loss and dietary change goal. The goals and targets must be realistic and achievable within the chosen timeframe. Note down your current weight and body fat percentage. List down some non-scale victories such as fitting into an old clothing item. List down the behaviours you need to change in order to achieve the target. Write down weekly and monthly rewards for achieving specific targets. 

Behaviour Modification Therapy Worksheet

Specify your desired goal to reduce weightType of exercise:Length of exercise:How many days a week:
Dietary change goal:
Weight loss goals(must be realistic and achievable)Current weight:Current body fat %:
Target weight:Target body fat %:
Non scale victories(such as dropping a size)

What changes can you make to achieve this target?

Set rewards(Weekly and Monthly rewards based on the targets you want to achieve – including non-scale victories and  behavioural goals)


Scott, H.K., Jain, A & Cogburn, M. (2022). Behavior Modification. Retrieved 10 December 2022 from

Martin, G & Pear, J.J. (2019) Behavior Modification: What it is and How to do it? (11th edition). Routledge. 

You can download this worksheet here.

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