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Daily Check-In

Pause, name what you’re feeling, identify a need, and choose one kind next step.

First page preview of Daily Check-In

Actual first page · 1 printable US Letter pages in the complete PDF. These are printable files, not interactive fillable forms.

Participant worksheet
Format
PDF · 1 pages · US Letter
Audience
Adults; personal reflection or guided use.
Time
About 5-25 minutes; follow the sheet
Cost
Free · No email required
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Inside this resource

  • Name what is happening for you.
  • Identify a need, an appreciation, and a next step.

How to use it

  1. Take 5-10 minutes with a pen or a quiet place to reflect.
  2. Write, draw, or skip prompts as needed.
  3. Return to your next step later and notice what you learned.

Print for personal use or your own professional sessions. Do not resell or redistribute the files. Educational content, not individualized treatment. Guides are original session plans, not validated protocols.

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Read the complete text version
PAGE 1
BREAKING THE BOND  /  FREE STARTER RESOURCE
Daily Check-In
Take 5-10 minutes. Use a word, phrase, or sketch. You may skip any prompt.
© 2026 Breaking the Bond | Personal and professional session use permitted.
Do not resell or redistribute the files. Educational reflection; not individualized treatment.
1
1 / What is happening for me right now?
Name feelings, thoughts, or body sensations without judging them.
2 / What do I need today?
Examples: rest, connection, space, nourishment, clarity, or support.
3 / What is one thing I appreciate?
Something ordinary is enough. Mixed feelings can exist alongside gratitude.
4 / My next small step
I will ______________________ by ______________________. Who or what could help?
Use them together

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