Evening Check-in 🌙✨
Reflect on your day and prepare for restful sleep.
How was your day overall?
How would you rate today overall?
*
1
2
3
4
5
6
7
8
9
10
Mood end of day
*
Good
Neutral
Low
Irritable
Anxious
Exhausted
Energy level at end of day
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Worst symptom today
Roughly how many symptoms today?
*
Please Select
0
1
2
3
4
5
6
7
8
9
10+
Hot flashes & stress
How many hot flashes today?
*
Please Select
0
1
2
3
4
5
6-10
10+
Any hot flash this evening?
*
Yes
No
Overall stress today
*
1
2
3
4
5
Social / Work Stress
*
None
Low
Moderate
High
Very High
Body & habits
Exercise Today
*
Yes
No
Exercise Type
Exercise Duration
Please Select
15 min
20 min
30 min
45 min
60 min
75 min
90 min+
Exercise Intensity
Light
Moderate
Vigorous
Alcohol Consumed
*
Yes
No
Glasses of water today total
Please Select
1
2
3
4
5
6
7
8+
Wind down
Bedtime Target
*
Hour Minutes
AM
PM
AM/PM Option
Did you do a wind-down routine tonight?
*
Yes
No
One Thing That Helped Today
One Thing That Hurt Today
Notes
Good night 🌙
Should be Empty: