# Worksheet 7a.1: Personal AI Use Policy

*Companion to* Elastic Intelligence, *Chapter 7a*

**Name:** ____________________   **Date:** __________

**How to use:** Write your four-part policy (Section 7a.6). Keep it to one page and review it every quarter.

**Name:** ______________   **Date:** ________   **Next review:** ________

### Never (what I will never put in or let AI do)

1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
4. ______________________________________________

### Always check (outputs I will always verify)

1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
4. ______________________________________________

### Always disclose (when I will tell others AI was involved)

1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
4. ______________________________________________

### Always protect (what stays human)

1. ______________________________________________
2. ______________________________________________
3. ______________________________________________
4. ______________________________________________

**Tools approved for work data:** ______________________

**Signature:** ______________

---
*Worksheet from* Elastic Intelligence *by Zafrullah Khan, Ed.D. © 2026 ai021.ai, Inc. You may print it for personal, team, or classroom use. Download: https://www.ai021.ai/book/elastic-intelligence*