Problem, Solution & Success Tracker - Edit & Update As Needed
Use this form to keep track of problems and the solutions you have found to live a more sustainable life and to better care for creation as well as to track the results of your efforts.

When you are done or want to stop, click on the "Submit" button at the bottom of the page.

You may come back to this assessment and continue to update it as you identify new solutions and track if a solution is working for you or not.

Look for an email after each time you change your form and flag/mark the email so you may find it easily. Just click on the link in the email to edit and update your responses. You may also bookmark the form after the first submission to allow you quick access edit your form.

Privacy Notice: We will not disclose your personal information such as name and email address nor will we share the results of your assessments without your prior authorization.

(This form was created by TheGentleLife.com - Please contact us if you need assistance with this form)
Email address *
First and Last Name *
Your answer
My Notes
Your answer
My Solutions
Identify the items you want to work by writing in the name of the problem and the solution you want to try to improve your stewardship and care of creation. Use the scale for each problem/solution to note how well the solution is working for you.
Problem/Solution #1
Your answer
Track Success for Solution #1
Not Working For Me
Great Success!
Problem/Solution #2
Your answer
Track Success for Solution #2
Not Working For Me
Great Success!
Problem/Solution #3
Your answer
Track Success for Solution #3
Not Working For Me
Great Success!
Problem/Solution #4
Your answer
Track Success for Solution #4
Not Working For Me
Great Success!
Problem/Solution #5
Your answer
Track Progress for Solution #5
Not Working For Me
Great Success!
Problem/Solution #6
Your answer
Track Success for Solution #6
Not Working For Me
Great Success!
Problem/Solution #7
Your answer
Track Progress for Solution #7
Not Working For Me
Great Success!
Problem/Solution #8
Your answer
Track Success for Solution #8
Not Working For Me
Great Success!
Problem/Solution #9
Your answer
Track Success for Solution #9
Not Working For Me
Great Success!
Problem/Solution #10
Your answer
Track Success for Solution #10
Not Working For Me
Great Success!
Problem/Solution #11
Your answer
Track Success for Solution #11
Not Working For Me
Great Success!
Problem/Solution #12
Your answer
Track Success for Solution #12
Not Working For Me
Great Success!
Problem/Solution #13
Your answer
Track Success for Solution #13
Not Working For Me
Great Success!
Problem/Solution #14
Your answer
Track Success for Solution #14
Not Working For Me
Great Success!
Problem/Solution #15
Your answer
Track Success for Solution #15
Not Working For Me
Great Success!
Problem/Solution #16
Your answer
Track Success for Solution #16
Not Working For Me
Great Success!
Problem/Solution #17
Your answer
Track Success for Solution #17
Not Working For Me
Great Success!
Problem/Solution #18
Your answer
Track Success for Solution #18
Not Working For Me
Great Success!
Problem/Solution #19
Your answer
Track Success for Solution #19
Not Working For Me
Great Success!
Problem/Solution #20
Your answer
Track Success for Solution #20
Not Working For Me
Great Success!
Problem/Solution #21
Your answer
Track Success for Solution #21
Not Working For Me
Great Success!
Problem/Solution #22
Your answer
Track Success for Solution #22
Not Working For Me
Great Success!
Problem/Solution #23
Your answer
Track Success for Solution #23
Not Working For Me
Great Success!
Problem/Solution #24
Your answer
Track Success for Solution #24
Not Working For Me
Great Success!
Problem/Solution #25
Your answer
Track Success for Solution #25
Not Working For Me
Great Success!
Problem/Solution #26
Your answer
Track Success for Solution #26
Not Working For Me
Great Success!
Problem/Solution #27
Your answer
Track Success for Solution #27
Not Working For Me
Great Success!
Problem/Solution #28
Your answer
Track Success for Solution #28
Not Working For Me
Great Success!
Problem/Solution #29
Your answer
Track Success for Solution #29
Not Working For Me
Great Success!
Problem/Solution #30
Your answer
Track Success for Solution #30
Not Working For Me
Great Success!
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