Daily Check-In

Friday, August 8

Let's answer today's questions together

You will answer first, then pass the phone to your caregiver.

How are you feeling today?

Very Sad
Somewhat Sad
Neutral
Somewhat Happy
Very Happy

How supported do you feel by the people around you this week?

Not at all supported
A little supported
Neutral
Mostly supported
Completely supported

Please describe a time during the day that felt especially tough.

Describe how your day went in terms of eating, emotions, and any strategies you used to cope.

Please describe something that your caregiver does that feels helpful.

Please describe something that you want your caregiver to work on.

How ready do you feel to continue working on your recovery?
Not ready Let's go!

Is there anything you would like to privately note for the journal?

The patient ate their required meals

Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I'm not sure

What is your stress level today?

Very Calm
Somewhat Calm
Neutral
Somewhat Stressed
Very Stressed

What do you think your loved one might need from you right now?

Space and patience
Encouragement and presence
A small positive distraction
I'm not sure
Other

Is there any particular type of food you've notice the patient avoiding? If so, please explain what it is.

If you are measuring daily caloric intake, please input what it is for today below.

Is there anything you would like to privately note for the journal?