15 My Self-Care Plan Nutrition Right now my diet is: I want to learn more about: I plan to: Exercise My current level of activity is: Something more I can do to be active is: I’m going to start by: Sleep Areas I can improve: q Getting more sleep q Going to bed at the same time each night q Cutting back on things that affect sleep, such as caffeine q Other Stress To manage my stress, I usually: Some stress management techniques I’d like to learn are: Next time I’m stressed, I will: Treatment I currently adhere to my treatment: q regularly q sometimes q poorly When it comes to my treatment, I could be better about: My concerns about treatment include: I will speak to my doctor about: q Turning off my electronic devices earlier q Engaging in relaxing activities before bed q Talking to my doctor about sleep