Mental Fitness Exercise Form
Use this form to plan, track, and reflect on your mental fitness exercises. All responses are for your personal growth and development.
Full Name
*
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate your current mental fitness?
*
Very low
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Very low, 10 is Excellent
Which mental fitness exercises would you like to do today?
*
Mindful breathing
Gratitude journaling
Visualization
Positive affirmations
Body scan meditation
Other
How many minutes do you plan to spend on your exercise routine today?
*
How often do you plan to practice mental fitness exercises?
*
Please Select
Daily
A few times a week
Weekly
Occasionally
What is your main goal or motivation for today's session?
*
How do you feel before starting your exercises?
*
Calm
Anxious
Focused
Distracted
Other
How do you feel after completing your exercises?
*
Energized
Relaxed
Neutral
Tired
Other
Any notes or reflections about today's session?
Submit
Should be Empty: