Self Care Planner (8.3 X 11.7 In)
Self Care Planner (8.3 X 11.7 In)
Self Care
Planner
DATE : ____________ M T W T F S S
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am
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______________________________ SELF-CARE CHECKLIST
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pm
6 ______________________________ REMINDERS
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SPIRITUAL
SOCIAL
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mental health
Check-in
DATE : ____________ M T W T F S S
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_________________________________ AFTERNOON MINDFULNESS
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TODAY I AM GRATEFUL FOIR
EVENING MINDFULNESS
10
DATE : ______________________________
CHALLENGES/OBSTACLES
WHAT INEED TO DO ?
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RESULT
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LESSON LEARNED
Mood Tracker
WEEK OF : ______________________________
Early Morning
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Morning
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Afternoon
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Evening
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Night
NOTES
Triggers
DATE : _________________________ M T W T F S S TIME : _________________________
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INTENSITY
1 2 3 4 5 6 7 8 9 10
BEST OUTCOME
DATE : _________________________
Positive thoughts
DATE : _________________________
WHAT GOOD THINGS HAPPENED TODAY?
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WEEK OF : _________________________
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Focus plan
DATE : _________________________
TASKS TO ACCOMPLISH
PHYSICAL EMOTIONAL
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SOCIAL SPIRITUALITY
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Meditation Tracker
WEEK OF : _________________________
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
meal plan
WEEK OF : _________________________
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Food diary
WEEK OF : _________________________
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Appointments
DOCTOR’S VISITS
DATE:__________________________ M T W T F S S TIME:____________________________
DOCTOR:
LOCATION:
PREPRATION:
SYMPTOMS PERSCRIPTION
MEASUREMENTS
BAD HABITS TO CUT
START END
ARMS
CHEST
WAIST
HIPS
GOOD HABITS TO BUILD
THIGHS
CALVES
walking log
WEEK OF : _________________________
DATE DISTANCE
1 19
2 20
3 21
4 22
5 23
6 24
7 25
8 26
9 27
10 28
11 29
12 30
13 31
14
15
16
17
18
Workout tracker
am am am am am am am
pm pm pm pm pm pm pm
am am am am am am am
pm pm pm pm pm pm pm
am am am am am am am
pm pm pm pm pm pm pm
am am am am am am am
pm pm pm pm pm pm pm
NOTES
Vitamin Tracker
WEEK OF : _________________________
VITAMIN/SUPPLIMENT
M T W T F S S
Therapy notes
DATE : _________________________ TOPIC : _________________________________________________________
IMPORTANT
TO DOS
NOTES
Screen Time
DOWNTIME
DATE : _________________________
TOTAL DOWNTIME:______________________