Daily Tracking
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Thank you for your response. ✨
Date: (MM/DD/YYYY)
(required)
Took Medication as prescribed
(required)
Yes
No antidepressant
No mood stabilizer
No (other)
Drugs
(required)
Nicotine
Alcohol
Marijuana
Psychedelic
Opiod
Other
None
Nutrition
(required)
1 – Poor
2 – Okay
3 – Good
4 – Great
5 – Excellent
Meditation
Yes
No
BP Mood Scale
Did you meet your goals today?
Yes
No
Was I affected by bipolar symptoms?
Yes
No
Was I resentful today?
Yes
No
(At who? For what? What did it affect? What’s my role?)
Was I fearful today?
Yes
No
(Of what? Why?)
Was I obsessed about anything today?
Yes
No
Did I cause harm to anybody? Do I owe an apology?
Yes
No
Was I dishonest?
Yes
No
Did I gossip?
Yes
No
Was I selfish or had a need to be right?
Yes
No
Was I possessive or insecure in my relationships?
Yes
No
Did I dwell in self-pity or beat myself up?
Yes
No
(About?)
What did I do for my recovery?
What am I grateful for today?
Prayer
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Jake Delveaux 