|  8 Weeks: Wellness Journal

8 Weeks: Wellness Journal

 

8 Weeks to Vibrant Health

Wellness Journal

Daily Food, Mood, Supplement
and Activity Record

This work sheet will help you develop a clear picture of your lifestyle: eating habits, exercise, sleep, mood, and supplements. For this process to be effective, keep your journal sheet with you and fill it out promptly every time you eat or drink anything, including water.

For the “Hunger” column, use a scale from 0 to 5:

0 = not hungry and 5 = very hungry.

Date: ____________________________
Exercise:
What: ____________________________
When: ____________________________
How long: ____________________________
Feeling before: ____________________________
Feeling after: ____________________________
Sleep:
Got up, A.M.: ____________________________
Went to bed, P.M.: ____________________________
Total Sleep: ____________________________
How I felt today: ____________________________

 

TIME
FOOD/BEVERAGE
AMOUNT
HUNGER
CIRCUMSTANCES
MOOD BEFORE
MOOD AFTER
SUPPLEMENTS