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January 2025
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Reflection
*
-
Day
-
Month
Year
Date
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Relationships
How are your relationships with family, friends, and colleagues? Are you supporting the connections that matter most?
Professional Growth
How are you tracking with your career development and CPD requirements? How do these align with your learning goals?
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Fun
What has brought you joy or relaxation in the past month? Were you able to set time aside to relax?
Overall Rating for the Month
How would you rate this month overall?
1
2
3
4
5
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