At-Home Sobriety Monitoring Log
Use this daily log to track your sobriety journey, mood, triggers, and support actions at home.
Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Sobriety Status
*
Sober
Slip/Relapse
Craving Intensity
*
None
Mild
Moderate
Severe
Main Trigger(s) Experienced
Stress
Boredom
Social Situations
Negative Emotions
Habit/Routine
Other
Mood at Time of Entry
Very Positive
Positive
Neutral
Negative
Very Negative
Main Activity During the Day
Work/School
Household Tasks
Exercise
Socializing
Relaxing/Leisure
Other
Support Actions Taken
Contacted Support Person
Attended Meeting (in-person/online)
Used Coping Skills
Practiced Mindfulness/Relaxation
Other
Sleep Quality Last Night
Very Good
Good
Fair
Poor
Very Poor
Stress Level Today
No Stress
1
2
3
4
5
6
7
8
9
Extreme Stress
10
1 is No Stress, 10 is Extreme Stress
Additional Notes or Reflections
Submit Log
Should be Empty: