Prepare for Success Sheets
Prepare for Success: Term Three
Emphasis: developing healthy independence.
DAY ONE: Date __________________
___ 1. Rest: I had at least 8 hours of sleep last night.
___ 2. Eat: I made my own healthy breakfast:Â _____________
___ 3. Eat: I made my own healthy lunch: ______________
___ 4. Exercise: I exercised or spent 30 or more minutes outdoors: ___________
___ 5. Clean: I spent 15+ min. on household chores: ________________
___ 6. Work: I completed all my academic obligations: ____________________
___ 7. Optimize brain function: I did not engage in negative talk about myself or others.
___ 8. Optimize brain function: I spent 30+ min. reading:Â ________________
___ 9. Nurture relationships: I showed kindness towards others:Â ________________
___ 10. Organize: I accomplished my goals for the day:Â ________________
DAY TWO: Date __________________
___ 1. Rest: I had at least 8 hours of sleep last night.
___ 2. Eat: I made my own healthy breakfast:Â _____________
___ 3. Eat: I made my own healthy lunch: ______________
___ 4. Exercise: I exercised or spent 30 or more minutes outdoors: ___________
___ 5. Clean: I spent 15+ min. on household chores: ________________
___ 6. Work: I completed all my academic obligations: ____________________
___ 7. Optimize brain function: I did not engage in negative talk myself or about others.
___ 8. Optimize brain function: I spent 30+ min. reading:Â ________________
___ 9. Nurture relationships: I showed kindness towards others:Â ________________
___ 10. Organize: I accomplished my goals for the day:Â ________________
DAY THREE: Date __________________
___ 1. Rest: I had at least 8 hours of sleep last night.
___ 2. Eat: I made my own healthy breakfast:Â _____________
___ 3. Eat: I made my own healthy lunch: ______________
___ 4. Exercise: I exercised or spent 30 or more minutes outdoors: ___________
___ 5. Clean: I spent 15+ min. on household chores: ________________
___ 6. Work: I completed all my academic obligations: ____________________
___ 7. Optimize brain function: I did not engage in negative talk about myself or others.
___ 8. Optimize brain function: I spent 30+ min. reading:Â ________________
___ 9. Nurture relationships: I showed kindness towards others:Â ________________
___ 10. Organize: I accomplished my goals for the day:Â ________________
DAY FOUR: Date __________________
___ 1. Rest: I had at least 8 hours of sleep last night.
___ 2. Eat: I made my own healthy breakfast:Â _____________
___ 3. Eat: I made my own healthy lunch: ______________
___ 4. Exercise: I exercised or spent 30 or more minutes outdoors: ___________
___ 5. Clean: I spent 15+ min. on household chores: ________________
___ 6. Work: I completed all my academic obligations: ____________________
___ 7. Optimize brain function: I did not engage in negative talk about myself or others.
___ 8. Optimize brain function: I spent 30+ min. reading:Â ________________
___ 9. Nurture relationships: I showed kindness towards others:Â ________________
___ 10. Organize: I accomplished my goals for the day:Â ________________
DAY FIVE: Date __________________
___ 1. Rest: I had at least 8 hours of sleep last night.
___ 2. Eat: I made my own healthy breakfast:Â _____________
___ 3. Eat: I made my own healthy lunch: ______________
___ 4. Exercise: I exercised or spent 30 or more minutes outdoors: ___________
___ 5. Clean: I spent 15+ min. on household chores: ________________
___ 6. Work: I completed all my academic obligations: ____________________
___ 7. Optimize brain function: I did not engage in negative talk about myself or others.
___ 8. Optimize brain function: I spent 30+ min. reading:Â ________________
___ 9. Nurture relationships: I showed kindness towards others:Â ________________
___ 10. Organize: I accomplished my goals for the day:Â ________________
Prepare for Success: Term Two
Emphasis: maintaining balance between your inner and outer worlds.
DAY ONE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast and for lunch:Â _____________
___ 3. Eat: I ate 5+ servings of fruit/veg. today: ______________
___ 4. Exercise: I exercised or spent time outdoors today: ___________
___ 5. Organize: I spent at least 15 minutes organizing my binder and planner
___ 6. Help: I was voluntarily helpful at home:  ________________
___ 7. Retreat: I did not use modern communication devices after 8 p.m.
___ 8. Expand your mind: I read this book for 30+ min.: ___________
DAY TWO: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast and for lunch:Â __________
___ 3. Eat: I ate 5+ servings of fruit/veg. today: ______________
___ 4. Exercise: I exercised or spent time outdoors today: ___________
___ 5. Organize: I spent at least 15 minutes organizing my binder and planner
___ 6. Help: I was voluntarily helpful at home:  ________________
___ 7. Retreat: I did not use modern communication devices after 8 p.m.
___ 8. Expand your mind: I read this book for 30+ min.: _______________
DAY THREE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast and for lunch:Â _____________
___ 3. Eat: I ate 5+ servings of fruit/veg. today: ______________
___ 4. Exercise: I exercised or spent time outdoors today: _____________
___ 5. Organize: I spent at least 15 minutes organizing my binder and planner
___ 6. Help: I was voluntarily helpful at home:  ________________
___ 7. Retreat: I did not use modern communication devices after 8 p.m.
___ 8. Expand your mind: I read this book for 30+ min.: _______________
DAY FOUR: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast and for lunch:Â _____________
___ 3. Eat: I ate 5+ servings of fruit/veg. today: ______________
___ 4. Exercise: I exercised or spent time outdoors today: _____________
___ 5. Organize: I spent at least 15 minutes organizing my binder and planner
___ 6. Help: I was voluntarily helpful at home:  ________________
___ 7. Retreat: I did not use modern communication devices after 8 p.m.
___ 8. Expand your mind: I read this book for 30+ min.: _______________
DAY FIVE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast and for lunch:Â _____________
___ 3. Eat: I ate 5+ servings of fruit/veg. today: ______________
___ 4. Exercise: I exercised or spent time outdoors today: ______________
___ 5. Organize: I spent at least 15 minutes organizing my binder and planner
___ 6. Help: I was voluntarily helpful at home:  ________________
___ 7. Retreat: I did not use modern communication devices after 8 p.m.
___ 8. Expand your mind: I read this book for 30+ min.: _______________
Parent’s Signature____________________________
[This page may be copied for use with students if the following credit is provided: ©2012 Sophie Rosen.]
Prepare for Success: Term Two
Emphasis: organizing your time.
DAY ONE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast:Â _____________
___ 3. Eat: I ate some protein for lunch: ______________
___ 4. Eat: I ate 5+ servings of fruit/veg. today: _____________________
___ 5. Exercise: I exercised or spent time outdoors today: _____________
___ 6. Organize: I spent 30+ minutes on English/S.S.:Â ________________
___ 7. Organize: I spent 30+ minutes on Math/Science/French: ___________
___ 8. Expand your mind: I read this book for 30+ min.: _________________
DAY TWO: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast:Â _____________
___ 3. Eat: I ate some protein for lunch: ______________
___ 4. Eat: I ate 5+ servings of fruit/veg. today: _____________________
___ 5. Exercise: I exercised or spent time outdoors today: ______________
___ 6. Organize: I spent 30+ minutes on English/S.S.:Â ________________
___ 7. Organize: I spent 30+ minutes on Math/Science/French: ___________
___ 8. Expand your mind: I read this book for 30+ min.:________________
DAY THREE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast:Â _____________
___ 3. Eat: I ate some protein for lunch: ______________
___ 4. Eat: I ate 5+ servings of fruit/veg. today: __________________
___ 5. Exercise: I exercised or spent time outdoors today: _____________
___ 6. Organize: I spent 30+ minutes on English/S.S.:Â ________________
___ 7. Organize: I spent 30+ minutes on Math/Science/French: ___________
___ 8. Expand your mind: I read this book for 30+ min.: _________________
DAY FOUR: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast:Â _____________
___ 3. Eat: I ate some protein for lunch: ______________
___ 4. Eat: I ate 5+ servings of fruit/veg. today: _____________________
___ 5. Exercise: I exercised or spent time outdoors today: ______________
___ 6. Organize: I spent 30+ minutes on English/S.S.:Â ________________
___ 7. Organize: I spent 30+ minutes on Math/Science/French: ___________
___ 8. Expand your mind: I read this book for 30+ min.: ________________
DAY FIVE: Date __________________
___ 1. Sleep: I had at least 8 hours of sleep last night.
___ 2. Eat: I ate some protein for breakfast:Â _____________
___ 3. Eat: I ate some protein for lunch: ______________
___ 4. Eat: I ate 5+ servings of fruit/veg. today: _____________________
___ 5. Exercise: I exercised or spent time outdoors today: ______________
___ 6. Organize: I spent 30+ minutes on English/S.S.:Â ________________
___ 7. Organize: I spent 30+ minutes on Math/Science/French: ___________
___ 8. Expand your mind: I read this book for 30+ min.: _______________
Parent’s Signature____________________________
[This page may be copied for use with students if the following credit is provided: ©2012 Sophie Rosen.]
Prepare for Success: Term One
DAY ONE: Date _________________
___ 1. I had at least 8 hours of sleep last night.
___ 2. I ate some protein for breakfast: _____________
___ 3. I had fruit or vegetables for breakfast: ______________
___ 4. I had bread or cereal for breakfast: __________________
___ 5. I ate some protein for lunch: _________________
___ 6. I had fruit or vegetables for lunch: ________________
___ 7. I exercised or spent time outdoors today: _______________
___ 8. I read, studied or did homework for at least 60 min. today:
DAY TWO: Date __________________
___ 1. I had at least 8 hours of sleep last night.
___ 2. I ate some protein for breakfast: _____________
___ 3. I had fruit or vegetables for breakfast: ______________
___ 4. I had bread or cereal for breakfast: __________________
___ 5. I ate some protein for lunch: _________________
___ 6. I had fruit or vegetables for lunch: ________________
___ 7. I exercised or spent time outdoors today: _______________
___ 8. I read, studied or did homework for at least 60 min. today:
DAY THREE: Date __________________
___ 1. I had at least 8 hours of sleep last night.
___ 2. I ate some protein for breakfast: _____________
___ 3. I had fruit or vegetables for breakfast: ______________
___ 4. I had bread or cereal for breakfast: __________________
___ 5. I ate some protein for lunch: _________________
___ 6. I had fruit or vegetables for lunch: ________________
___ 7. I exercised or spent time outdoors today: _______________
___ 8. I read, studied or did homework for at least 60 min. today:
DAY FOUR: Date __________________
___ 1. I had at least 8 hours of sleep last night.
___ 2. I ate some protein for breakfast: _____________
___ 3. I had fruit or vegetables for breakfast: ______________
___ 4. I had bread or cereal for breakfast: __________________
___ 5. I ate some protein for lunch: _________________
___ 6. I had fruit or vegetables for lunch: ________________
___ 7. I exercised or spent time outdoors today: _______________
___ 8. I read, studied or did homework for at least 60 min. today:
DAY FIVE: Date __________________
___ 1. I had at least 8 hours of sleep last night.
___ 2. I ate some protein for breakfast: _____________
___ 3. I had fruit or vegetables for breakfast: ______________
___ 4. I had bread or cereal for breakfast: __________________
___ 5. I ate some protein for lunch: _________________
___ 6. I had fruit or vegetables for lunch: ________________
___ 7. I exercised or spent time outdoors today: _______________
___ 8. I read, studied or did homework for at least 60 min. today:
Parent’s Signature: ____________________________
[This page may be copied for use with students if the following credit is provided: ©2011 Sophie Rosen.]
