DAY SAMPLE WEEK WEEK WEEK WEEK WEEK WEEK 1 2 3 4 5 6 6 Goal: Goal: Goal: Goal: Goal: Goal: Goal: MONDAY mins Actual: Actual: Actual: Actual: Actual: Actual: Actual: 6 mins Goal: 6 Goal: Goal: Goal: Goal: Goal: Goal: TUESDAY mins Actual: Actual: Actual: Actual: Actual: Actual: Actual: 7 mins Goal: 7 Goal: Goal: Goal: Goal: Goal: Goal: WEDNESDAY mins Actual: Actual: Actual: Actual: Actual: Actual: 7 Actual: mins Goal: Goal: Goal: Goal: Goal: Goal: Goal: OFF THURSDAY Actual: Actual: Actual: Actual: Actual: Actual: Actual: OFF 7 Goal: Goal: Goal: Goal: Goal: Goal: Goal: FRIDAY mins Actual: Actual: Actual: Actual: Actual: Actual: Actual: 7 mins Goal: 8 Goal: Goal: Goal: Goal: Goal: Goal: SATURDAY mins Actual: Actual: Actual: Actual: Actual: Actual: Actual: 9 mins Goal: OFF Goal: Goal: Goal: Goal: Goal: Goal: SUNDAY Actual: Actual: Actual: Actual: Actual: Actual: Actual: OFF RELAXATION PRACTICE RECORD Use this record to chart your relaxation practice over time. Before you begin your practice, use the scale below to rate your level of tension. After you complete the practice, use the same scale again to rate your level of tension. Note any differences. Remember, it may take a number of sessions before you notice improvement.
DAY SAMPLE WEEK 1 WEEK 2 WEEK 3 WEEK 4 WEEK 5 WEEK 6 MONDAY Goal: 6 mins Actual: 6 mins Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: TUESDAY Goal: 6 mins Actual: 7 mins Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: WEDNESDAY Goal: 7 mins Actual: 7 mins Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: THURSDAY Goal: OFF Actual: OFF Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: FRIDAY Goal: 7 mins Actual: 7 mins Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: SATURDAY Goal: 8 mins Actual: 9 mins Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: SUNDAY Goal: OFF Actual: OFF Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: Goal: Actual: RELAXATION PRACTICE RECORD Use this record to chart your relaxation practice over time. Before you begin your practice, use the scale below to rate your level of tension. After you complete the practice, use the same scale again to rate your level of tension. Note any differences. Remember, it may take a number of sessions before you notice improvement.
cbt-wksheets.docx