A personal accountability plan sets a commitment, the evidence you will inspect, a check-in, and a repair rule. It should make a missed action visible without turning the plan into a punishment system.
Work through these questions: Two tailored applications
Completed fictional example — SAMPLE DATA
This example shows how to fill in the form. It is not a real person’s record, a diagnosis, a validated assessment or a promised outcome. Use your own observations and appropriate professional advice for actual health concerns.
| Question or field | Your entry |
|---|---|
| Weekly commitment? | Send the venue section before the next meeting |
| Evidence? | A sent draft with facts marked |
| Check-in? | The next planning meeting |
| Repair rule? | Notify the coordinator and agree a smaller repair if delayed |
| Privacy limit? | Share task evidence, not private personal notes |
Blank worksheet — copy or print
Copy the form into your own private document or print this page. Replace each “Your entry” cell with your own note; leave anything uncertain clearly marked as unknown. This page does not save or submit your entries.
| Question or field | Your entry |
|---|---|
| Weekly commitment? | Your entry |
| Evidence? | Your entry |
| Check-in? | Your entry |
| Repair rule? | Your entry |
| Privacy limit? | Your entry |
Completed example
| Question or field | Fictional completed example |
|---|---|
| Weekly commitment? | Two tailored applications |
| Evidence? | Sent confirmations |
| Check-in? | Sunday afternoon |
| Repair rule? | Name the blocker and revise the next step |
| Privacy limit? | Share only agreed details |
A worked situation: Two tailored applications
Fictional example. A reader commits to sending two tailored applications each week. A weekly review records sent applications, real blockers, and a revised next step, rather than counting research tabs as submissions.
Separate the commitment from the check-in
Put the work window and the reporting time in different fields. If the commitment changes, preserve the original agreement and record the update rather than editing away the missed promise. Choose what evidence to share and what stays private. The partner or reviewer should know what decision the update is meant to support.