Daily Usage Tracking Survey
Log your daily activities, habits, and satisfaction to reflect on your day and track your progress.
Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please select the main activities you engaged in today.
*
Work or study
Exercise or sports
Household chores
Socializing
Leisure/entertainment
Personal care
Other
How many hours did you spend on the following activities today?
*
Rows
Hours spent
Work or study
Exercise or sports
Household chores
Socializing
Leisure/entertainment
Personal care
How satisfied are you with how you spent your day?
*
1
2
3
4
5
Which device(s) did you use the most today?
*
Smartphone
Computer/Laptop
Tablet
TV
Other
On average, how would you rate your productivity today?
*
Not productive
1
2
3
4
5
6
7
8
9
Extremely productive
10
1 is Not productive, 10 is Extremely productive
Did you encounter any challenges or obstacles today?
*
Yes
No
Please describe any challenges or obstacles you faced today.
How would you describe your overall mood today?
*
Please Select
Very positive
Positive
Neutral
Negative
Very negative
What is one thing you would like to improve or change tomorrow?
Any additional comments or feedback?
Submit Survey
Should be Empty: