Did you sleep well last night? * Yes No How did you feel when you woke up? * Very Bad Bad Fine Good Great How did you feel mid-day? * Very Bad Bad Fine Good Great How did you feel in the evening? * Very Bad Bad Fine Good Great What did you eat for breakfast? * What did you eat for lunch? * What did you eat for supper? * How many carbonated drinks did you have today? Did you have any snacks at night? Did anything stressful happen to you today? Additional Notes: Tomorrow will be better.
