Questions	MON	TUE	WED	THU	FRI	SAT	SUN
What shape were you in when you woke up. Rested T or restless/tired F ?
Did you eat breakfast before leaving the house? Yes T or No F ?
Did you spend your morning relatively calm T or were you stressed/bothered F ?
Did you take time out for lunch? Yes T or No F ?
Do you remember what you had for lunch? Yes T or No F ?
Did you stop for small breaks during your working day? Yes T or No F ?
Did you smoke during those breaks F ? No smoking T
If you smoked during breaks, did you smoke more than usual F ?  No smoking T
Did you drink a lot of coffee (more then 3 cups) F or did you have herbal tea T ?
Did you drink many fizzy softdrinks F or did you drink water (at least 1.5 litres) T ?
Did you eat a lot of sweets, or crisps, or other junk food ? Yes T or No F ?
Did you have some exercise during the day or after work? Yes T or No F ?
Did you have problems with your digestion or bowelmovement during the day? Yes T or No F ?
Were you feeling bloated, or did you have acid heartburn during the day? Yes T or No F ?
Did you take time out to eat a leisurely dinner? Yes T or No F ?
Do you remember what you had for dinner? Yes T or No F ?
Were you stressed out during the day? Yes T or No F ?
Were you able to cope with the stress by balancing your mood? Yes T or No F ?
During your evening, did you choose to engage in something relaxing? Yes T or No F ?
Did you pamper your body with a bath, massage, sauna, etc. today? Yes T or No F ?
Have you made enough time for yourself today? Yes T or No F ?
Did you drink too much alcohol ? Yes T or No F ?
Did you go to bed at a reasonable hour ? Yes T or No F ?
Did you go to bed angry or resentful ? Yes T or No F ?
Did you think of good things before sleep? Yes T or No F ?
Do you have to take sleeping pills just to go to sleep or stay asleep ? Yes T or No F ?