Micro Habit Checklist Form
Use this Micro Habit Checklist Form to track your daily micro habits and maintain a consistent routine. Stay on top of your small daily goals with a simple, approachable checklist.
Today's Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Name (optional)
First Name
Last Name
Select the micro habits you completed today
*
Drink a glass of water after waking up
Stretch for 2 minutes
Read one page of a book
Write a short journal entry
Take a mindful breath
Other
How satisfied do you feel with your habits today?
1
2
3
4
5
What helped you stay consistent today?
What challenges did you face?
Would you like to set a new micro habit for tomorrow?
Yes
No
If yes, describe your new micro habit
Submit Checklist
Should be Empty: