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?

Written by Barton D. Schmitt, MD, author of “My Child Is Sick”, American Academy of Pediatrics Books.
Published by RelayHealth.
Last modified: 1995-11-07
Last reviewed: 2010-06-02
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2011 RelayHealth and/or its affiliates. All rights reserved.