date—
| Fill out the night before | Fill out at the end of the day | |||
|---|---|---|---|---|
| What you plan to do | What you actually did if it differs from what you planned | Your mood during this time on a scale from 1 (poor) to 5 (great) | Triggers, events or thoughts that might have affected your mood | |
| Early Morning (Waking time until 10am) | ||||
| Late Morning (10am-noon) | ||||
| Early Afternoon (Noon-3pm) | ||||
| Late Afternoon (3-5pm) | ||||
| Evening (5-8pm) | ||||
| Night (8pm until bedtime) |