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hi its Dr Cameron Norman one of the things I want to give is a lesson to anybody here who talks about change like the idea of change is going to happen is if you are doing anything involving change what you need to do is to be able to assess pre and post by that I mean is you need to understand where you are whats going on right now and what youre changing into I hear all the time people are saying weve made a change happen but if you dont measure or capture your before State and then your after State how do you know whether you changed or how do you know whether youve changed enough and to what degree if youre serious about doing something one of the things I would tell anybody is get a capture of where you are at the current moment however that is as much detail as you can and then think about that so that you can compare it to to what you want to see in the future at another time point so think pre and post evaluation thats the way to assess change