Wellness Check-In Template

Rate 12 key wellness dimensions, identify areas needing attention, and generate a daily wellbeing report.

1Rate each wellness dimension from 1–5.

2Add notes for key dimensions like gratitude and intention.

3Copy your wellness check-in report.

Daily Check-In

3.0/5

Physical Energy

Sleep Quality

Mental Clarity

Emotional State

Stress Level

Social Connection

Nutrition

Movement

Purpose / Meaning

Gratitude Note

Today's Intention

One Small Win

Wellness Report

===== WELLNESS CHECK-IN =====
Date: March 26, 2026
Overall Score: 3.0/5

DIMENSION SCORES
────────────────────────────────────
Physical Energy        [███░░] 3/5
Sleep Quality          [███░░] 3/5
Mental Clarity         [███░░] 3/5
Emotional State        [███░░] 3/5
Stress Level           [███░░] 3/5
Social Connection      [███░░] 3/5
Nutrition              [███░░] 3/5
Movement               [███░░] 3/5
Purpose / Meaning      [███░░] 3/5
Gratitude Note         [███░░] 3/5
Today's Intention      [███░░] 3/5
One Small Win          [███░░] 3/5

────────────────────────────────────
OVERALL SCORE: 3.0/5

REFLECTION

Exports for this tool

===== WELLNESS CHECK-IN ===== Date: March 26, 2026 Overall Score: 3.0/5 DIMENSION SCORES ──────────────────────────────────── Physical Energy [███░░] 3/5 Sleep Quality [███░░] 3/5 Mental Clarity [███░░] 3/5 Emotional State [███░░] 3/5 Stress Level [███░░] 3/5 Social Connection [███░░] 3/5 Nutrition [███░░] 3/5 Movement [███░░] 3/5 Purpose / Meaning [███░░] 3/5 Gratitude Note [███░░] 3/5 Today's Intention [███░░] 3/5 One Small Win [███░░] 3/5 ──────────────────────────────────── OVERALL SCORE: 3.0/5 REFLECTION