Stage	What the patient is thinking
Pre-contemplation	Patient is not thinking about changing the behavior.
Contemplation	Patient is thinking about changing the behavior but has not taken any action steps.
Preparation	Patient is committed to changing the behavior and may have made an attempt in the recent past.
Action	Patient is in the process of making overt lifestyle change.
Maintenance	Patient has established the new habit. Focus is on maintaining behavior change.
Relapse	Patient returns to problem behavior. May have cycled back into a previous stage.