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Change Clinic Worksheet

How can change clinic worksheet improve people, teams, or organisational effectiveness?

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What this template contains.

Purpose. Use this worksheet to diagnose a change that has stalled and turn the diagnosis into a small, owned action plan. Application. Describe behaviour in observable terms, examine clarity, motivation and the surrounding environment separately, then choose no more than three actions to test before the review date. Completion discipline. Complete the prompts with the people closest to the work, distinguish evidence from assumption, and mark any item that is not applicable with a reason. Convert selected actions in

Change Clinic Worksheet12 fields
Situation
Situation nameWhose behaviour needs to change?Current behavior
Diagnosis
Rider diagnosisElephant diagnosisPath diagnosis
Selected Plan
PriorityTestable actionOwner

Use context

Purpose, application, discipline.

Purpose

Use this worksheet to diagnose a change that has stalled and turn the diagnosis into a small, owned action plan.

Application

Describe behaviour in observable terms, examine clarity, motivation and the surrounding environment separately, then choose no more than three actions to test before the review date.

Completion discipline

Complete the prompts with the people closest to the work, distinguish evidence from assumption, and mark any item that is not applicable with a reason. Convert selected actions into named ownership and a review date, then retain the completed copy as evidence.

Field summary

Structured sections without protected files.

5 fields

Situation

Situation name, Whose behaviour needs to change?, Current behavior, Desired behavior

3 fields

Diagnosis

Rider diagnosis, Elephant diagnosis, Path diagnosis

4 fields

Selected Plan

Priority, Testable action, Owner, Review date

Protected resources

Included resource formats.

Implementation contextField schema
Implementation context - MD

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