Emotional Wellbeing Health Log Report
Log your daily emotional wellbeing, track your mood, and reflect on your mental health journey.
Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate your overall mood today?
*
Very Low
1
2
3
4
5
6
7
8
9
Very High
10
1 is Very Low, 10 is Very High
Which emotions best describe how you felt today? (Select all that apply)
*
Happy
Sad
Anxious
Angry
Calm
Frustrated
Grateful
Other
Briefly describe any events or situations that affected your mood today.
What coping strategies did you use today?
Talking to someone
Exercise/Physical activity
Meditation/Mindfulness
Creative activity (art, music, writing)
Rest/Sleep
None
Other
How would you rate your stress level today?
*
No Stress
1
2
3
4
5
6
7
8
9
Extremely Stressed
10
1 is No Stress, 10 is Extremely Stressed
How well did you sleep last night?
Very well
Fairly well
Not well
Did not sleep
Did you experience any physical symptoms today? (Select all that apply)
Headache
Fatigue
Muscle tension
Upset stomach
No physical symptoms
Other
Did you seek or need support today?
Yes, I sought support
Yes, I needed but did not seek support
No, I did not need support
Please share any additional comments or reflections about your emotional wellbeing today.
Submit Log
Should be Empty: