Name _______________________ Start Date _____________ End Date ______________
Score your progress in both the Now and Goal columns on a scale from 1 to 12 (1 = no skill, 12 = established)
The Body | Now | Goal | End |
P-1 Gaining Control of Your Diet: Choose healthy, well-balanced meals. | |||
P-2 Getting Up in the Morning: Wake up with ease, cheerfully and enthusiastically. | |||
P-3a Healthy Habits: Exercise – Get plenty of physical activity. | |||
P-3b Healthy Habits: Posture – Keep spine erect in sitting, standing and moving. | |||
P-3c Healthy Habits: Cleanliness – Have good personal habits (bathing, brushing teeth…). | |||
P-3d Healthy Habits: Physical Appearance – Dress appropriately (neat, clean and modest). | |||
Feelings | |||
F-1 Making Friends: Practice listening, helping and sharing. | |||
F-2a Choosing Happiness: Attitude – Develop a positive approach to life. | |||
F-2b Choosing Happiness: Humor and Playfulness – Find amusing and uplifting perspectives. | |||
F-3a Practicing Peace: Contentment – Seek a state of centeredness and calmness. | |||
F-3b Practicing Peace: Self-Respect – Nurture a healthy relationship with yourself. | |||
F-4 Nurturing Even-Mindedness: Calm and relax the mind and feelings as needed. | |||
F-5 Working with Others: Bring harmony and sincerity into your relationships. | |||
F-6 Expanding Sensitivity: Appreciate beauty in music, nature and other people. | |||
Will Power | |||
W-1 Living Truth: Speak, think and act with integrity. | |||
W-2a Building Will Power: Self-Control – Choose actions consciously and wisely. | |||
W-2b Building Will Power: Initiative – Try new things. | |||
W-2c Building Will Power: Perseverance – Bring projects to completion. | |||
W-2d Building Will Power: Orderliness – Organize schoolwork, room, etc. | |||
W-2e Building Will Power: Punctuality – Keep a schedule and arrive on time. | |||
W-3 Cultivating Courage: Overcome worry; face challenges with determination and faith. | |||
Intellect | |||
I-1 Developing Concentration: Ignore distractions and focus attention. | |||
I-2 Exploring Flexibility: Be open to different ideas and experiences. | |||
I-3a Sharpening the Mind: Attentiveness – Notice details. | |||
I-3b Sharpening the Mind: Introspection – Be aware of inner realities. | |||
I-3c Sharpening the Mind: Memory – Remember things and positive moments. | |||
I-3d Sharpening the Mind: Reasoning – Think logically. | |||
I-3e Sharpening the Mind: Imagination – Be creative in daily activities. | |||
Additional quality that you’d like to track. ____________________________ |