Third30™
Self-Reflection
Response Journal
Record your thoughts and insights from the Self-Reflection Guide
Personal Information
Name:
Date:
Initial Thoughts and Wellness Vision:
Physical Wellness Reflections
Movement & Exercise:
Current activities I enjoy:
Activities I’d like to try:
Barriers and solutions:
Health & Environment:
Areas needing attention:
Environmental changes:
Support systems:
Mental & Emotional Wellness Reflections
Mental Engagement:
Current mental stimulation:
Learning interests:
Brain-healthy activities:
Emotional Balance:
Current emotional state:
Areas for growth:
Stress management strategies:
Social Connections Reflections
Relationship Assessment:
Current relationships:
Desired connections:
Action steps:
Community Engagement:
Current involvement:
Future opportunities:
Goals and timeline:
Purpose & Meaning Reflections
Personal Growth Journey:
Sources of meaning:
Growth opportunities:
Future aspirations:
Legacy Building:
Wisdom to share:
Impact goals:
Next steps:
Progress Notes & Reflections
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