SELF-SCHEMA CHECK-IN LOG
for the week of
Enter here two different cues (e.g., beepers, meal times, etc.) that you will use to remind you to stop three times a day

STOP THREE TIMES EACH DAY. Become aware of the self-schema that was most recently active. Give it a descriptive name, and enter it in the box. Then rate the extent to which you were able to experience and express your Spiritual nature while that self-schema was active.
Morning Afternoon Evening
SUNDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
MONDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
TUESDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
WEDNESDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
THURSDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
FRIDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
SATURDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed
Rate extent Spiritual nature
experienced expressed

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