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First Name
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Last Name
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Email
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Reflections
MAN - What does peace or strength look like for me today?
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LOVER - What does intentional and selfless look like today (outside my role as a father or leader)?
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FATHER - What intentional moment will I create with my kids or those I lead?
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LEADER/PRODUCER - What’s the most important move I’m making today—and why does it matter?
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GRATITUDE - One thing I’m thankful for today is…
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Rate Yesterday from 1–10
(min 1 / max 10)
MAN
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1
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LOVER
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FATHER
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LEADER
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PRODUCER
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Yesterday’s Context & Lifestyle
[SLEEP HOURS] — How many hours did I sleep last night?
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[TRAVEL] — Did I travel out of town yesterday?
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Yes
No
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[MEETINGS COUNT] — How many meetings did I have yesterday?
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[WORKOUT] — Did I work out yesterday?
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Yes
No
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[ALCOHOL DRINKS] — How many alcoholic drinks did I have yesterday?
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None
1
2+
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[CONFLICT W/ SPOUSE] — Did I have conflict with my spouse yesterday?
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Yes
No
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[WORDS OF AFFIRMATIONS] — Did I speak words of affirmation yesterday?
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Yes
No
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Nutrition Quality
5 – Excellent
4 – Good
3 – Average
2 – Poor
1 – Very Poor
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[INTENTIONAL CONNECTION] — Did I create intentional connection yesterday?
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Yes
No
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[MIT] — What is my most important task today?
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