Commitment Template

* [ ] **Customer:**

* [ ] **Conditions of Satisfaction:**

* [ ] **Time Specified:**

* [ ] **Background of Understanding:**

* [ ] **Promiser:**

* [ ] **Negotiation:**

* [ ] **Anticipate Breakdowns:**

* [ ] **Rhythm of Conversation:**

# Promiser's Assessment of Commitment: * [ ] Good * [ ] At Risk, can manage * [ ] At Risk, need help * [ ] In Breakdown * [ ] In Recovery * [ ] Assert Complete

# Customer's Assessment of Commitment: * [ ] Declare Complete or Incomplete * [ ] Express Appreciation