Behavior Chain Analysis Worksheet
Reflect on a recent behavior, analyze its triggers and consequences, and plan healthier coping strategies.
Date of Analysis
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Describe the Problem Behavior
*
When did the behavior occur? (Date and Time)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Where did the behavior occur?
*
Who was present at the time?
What events or triggers led up to the behavior?
*
What thoughts did you have before and during the behavior?
*
What emotions did you experience before, during, and after the behavior?
Rows
Before
During
After
Emotion 1
Emotion 2
Emotion 3
What were the consequences of the behavior? (Check all that apply)
*
Short-term relief
Guilt or shame
Conflict with others
Physical discomfort
No noticeable consequence
Other
How effective were your coping strategies in the situation?
Not effective
1
2
3
4
Very effective
5
1 is Not effective, 5 is Very effective
What alternative actions or coping strategies could you use next time?
*
What did you learn from this analysis?
Submit Analysis
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