Monday Check-In
Date
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Year
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Month
Day
Date
How was your sleep night?
*
Didn't Sleep At All
1
2
3
4
5
6
7
8
9
Best Sleep Ever
10
1 is Didn't Sleep At All, 10 is Best Sleep Ever
How are you feeling mentally today?
*
I'm In a Dark Place
1
2
3
4
5
6
7
8
9
Amazing!!
10
1 is I'm In a Dark Place, 10 is Amazing!!
How are you feeling physically today?
*
Horrible
1
2
3
4
5
6
7
8
9
Things are great!
10
1 is Horrible, 10 is Things are great!
What's taking up the most of your headspace?
What is your energy level today?
This matrix type is not available for legacy form layout.
Check each box that you would say "yes" to
Have you become cynical or critical at work?
Have you become irritable or impatient with co-workers, customers or clients?
Do you lack the energy to be consistently productive?
Do you find it hard to concentrate?
Do you lack satisfaction from your achievements?
Do you feel disillusioned about your job?
Are you using food, drugs or alcohol to feel better or to simply not feel?
Have your sleep habits changed?
Are you troubled by unexplained headaches, stomach or bowel problems, or other physical complaints?
Are you feeling increasingly self-critical about your ability to do your job?
Write these affirmations 10 times each on a piece of paper
List three ways that you will prioritize rest and self care this week.
What are you grateful for? List 5 things.
Submit
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