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8
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1
Daily Mood Log
Use this online form to track your mood, reflect on your day, identify patterns, and provide an update to your counselor.
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2
Name
First Name
Last Name
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Date
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Date
Year
Month
Day
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4
Overall, what was your mood like today?
The further to the right, the better your mood.
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5
On a scale of 1 to 10, what number would you give for the following moods/emotions today?
anxious/afraid/worried
depressed/sad
angry/mad/irritated
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6
Were there any events or experiences that you think contributed to these moods or emotions? If so, what were they? (Consider completing a thought record for these events).
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7
Is there anything you did today that you think helped you to feel or cope well?
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8
Is there anything about today that you want to add to the agenda for your next counseling session?
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