Daily Living & Movement

• I moved my body today in a simple, safe way (walking, stretching, light activity)
• I practiced balance or strength, even briefly
• I listened to my body and rested before becoming overtired

Home Safety

• My walking paths are clear and free of clutter or loose rugs
• I have adequate lighting, especially at night
• Frequently used items are within easy reach (no overreaching or climbing)

Connection & Support

• I connected with someone today (call, text, visit)
• I have at least 2–3 people I can reach out to if needed
• I allowed someone to help me in a small way if needed

Routine & Organization

• I followed a simple daily routine (meals, medications, activity)
• I took my medications as scheduled
• I planned at least one small task for the day (laundry, meal prep, errands)

Health & Prevention

• I paid attention to any new symptoms or changes
• I stayed hydrated and ate regular meals
• I kept up with appointments or made note of anything I need to schedule

Using Support Tools

• I used tools that make life easier (pill organizer, reminders, assistive devices)
• I am open to trying new tools or small changes that improve safety
• I asked for help or information when something felt difficult

Weekly Check-In

• Did I stay active most days this week?
• Did I stay connected with others?
• Is there anything in my home that feels unsafe or difficult?
• What is one small change I can make this week to stay independent?