Fill in the Log every day, both before and after doing your Relaxation Exercise.  Circle the number that shows how you felt during the day, and the number that shows how you felt after practicing the Relaxation Exercise.

 

DAY            TODAY I FELT                        AFTER RELAXING I FEEL

                    CALM  TENSE                               CALM  TENSE

 

MON            1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8

 

 

TUES           1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8

 

 

WED            1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8

 

 

THUR           1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8

 

 

FRI               1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8

 

 

SAT              1 2 3 4 5 6 7 8                              1 2 3 4 5 6 7 8                             

 

 

SUN             1 2  3 4 5 6 7 8                              1 2 3 4 5 6 7 8                             

 

  

Week ending:     /     /

 

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