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Emotional Health Tracker EmpowerUplan
Your Daily Check-in for Clarity, Calm, and Connection
What is your mood today?
*
What is your mood today?
A
-Joyful-
B
-Neutral-
C
-Anxious-
D
-Sad-
E
-Frustrated-
F
-Tired-
G
-Motivated-
H
Other
How did you sleep last night?
*
How did you sleep last night?
A
-Great-
B
-Okay-
C
-Poor-
D
-Interrupted-
What triggered emotions today?
*
What triggered emotions today?
A
-A conversation-
B
-Work/Home situation-
C
-Food/Drink-
D
-Memory or thought
E
-Lack of Sleep-
F
Other
What helps you to calm down quickly?
*
What helps you to calm down quickly?
A
-Breathing-
B
-Journaling-
C
-Walking-
D
-Talking
E
-Music
F
-Meditation
G
-Other
How did I feel afterwards?
Guided Journal Prompt:
"What do I need to let go of today to feel more at peace?"
Energy Level (1-10)
*
Energy Level (1-10)
1
2
3
4
5
6
7
8
9
10
End of Day Reflection
What I'm grateful for today
Three words how I feel right now
One win (big or small) I had today
What will I carry into tomorrow?
What is your name?
What is your email?
*
Submit
