PRIVATE CHECK IN Please fill out this form, it will be sent to me to see how you are doing. It is absolutely confidential. Name * First Name Last Name Email * How was your day? * ideas: did you hold resentments? did you do something you regret? did you not do something you regret? what are you grateful for? how was your day overall? how are you in mind, body and spirit? is there anything you want to share here today? Thank you, received.