Name
First Name
Last Name
What Is Your Affirmation?
Enter it slowly and mindfully, feeling it in your body.
Project Statement
What were your planned process criterion for the week?
These were the actions in your life quantified by a certain amount of time or number of occurrences on a regular basis.
On a scale of 1 - 10, how successful were you in completing these?
List each process criterion and rate each.
What signposts did you plan to complete, and how successful were you?
These are actions in your life that had a specific completion date.
What are your plans for completing any that were unfinished? What support might you request??
Did you commit to any "3 foot tosses"? List these actions steps completed.
A "3 foot toss" is an action you committed to where success is very doable due to the relatively modest demands of the goal.
List of "3 foot tosses)" committed to but not completed.
Briefly share any situations that resulted in you taking course corrective action.
What did you do in response?
On a scale of 1 - 100, rate your level of engagement in your project.
On a scale of 1 - 100, rate your level of enthusiasm for your project.
Describe your plan and intention for asking for any support needed.
When will you do this? Do you require an accountability checkin for this action?
List any "3 foot tosses" come forward you would like to commit to.
What support to you need in completing these?
Is there a part of your life project you would like to add to this weekly check in as an accountability tool? Any section you wanted to check in on if it is of value, in case we can delete it?
