Decision Number:
Date:
Time:
Decision:
Mental/Physical State (check as many boxes as needed)
0 The situation/context:
The problem statement or frame:
The variables that govern the situation include:
The complications/complexities as I see them:
Alternatives that were seriously considered and not chosen were:
Explain the range of outcomes:
What I expect to happen and the actual probabilities are:
The outcome:
Review Date (6 months after decision date): _________________
What happened and what I learned: