Weekly Drinking Behavior and Small Steps Form						Moderation Management Network Inc., ©2005
						www.moderation.org
Date:						Main Goal for Change:
Week#:
Day of the Week	Number of Drinks	Number of Hours	BAC from Tables	Over Limits	Describe Location	Small Steps Toward Positive Lifestyle Changes	Progress Made? Mark with Y or N
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
TOTALS: