Components

Questions

Personal Information

What is your full name?

Date and Time

What is today's date? (Day, month, and year)

Location

Where are you right now? (Include as much detail as possible, like room and building)

Schedule

What activities do you have planned for today?

Environmental Details

What is the weather like today?

Personal Health

How are you feeling today? Any changes in health you want to note?

Daily Reflection

Name one thing you enjoyed yesterday or something you are looking forward to today.

Acknowledgment

Name one person you have spoken with today and the topic of conversation.