Fillable Energy Jump Start Worksheet (City of Oakland)

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Energy Jump Start Worksheet (City of Oakland)

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Energy Jump Start Worksheet
www.compassrosenutrition.ca
Welcome to Energy Jump Start
Use this worksheet to follow along with the training, so that you have a plan once we finish up
today.
Breakfast
What time do you usually eat?
__________________________________________________________________________
What do you usually have? 
__________________________________________________________________________
Lunch
What time do you usually eat?
__________________________________________________________________________
What do you usually have?
__________________________________________________________________________
Dinner
What time do you usually eat?
__________________________________________________________________________
What do you usually have?
__________________________________________________________________________
www.compassrosenutrition.ca
Snack- Morning
What time do you usually eat?
__________________________________________________________________________
What do you usually have?
__________________________________________________________________________
Snack- Afternoon
What time do you usually eat?
__________________________________________________________________________
What do you usually have?
__________________________________________________________________________
Snack- Evening
What time do you usually eat?
__________________________________________________________________________
What do you usually have?
__________________________________________________________________________
www.compassrosenutrition.ca
Sleep
How much sleep do you get at night?
__________________________________________________________________________
How much sleep do you get at night?
__________________________________________________________________________
What time do you wake up?
__________________________________________________________________________
Do you wake up feeling rested?
__________________________________________________________________________
Activity
How active are you most days, or most weeks?
__________________________________________________________________________
What type of exercise are you doing? Ie: cardio, strength etc
__________________________________________________________________________
How long do you keep your heart rate up daily?
__________________________________________________________________________
www.compassrosenutrition.ca
Stress
Rate these from 1-10
How much stress do you have at work?
__________________________________________________________________________
How much stress do you have at home?
__________________________________________________________________________
How much stress do you have in other areas of your life?
__________________________________________________________________________
Energy
What time of day does your energy tend to drop?
__________________________________________________________________________
What are your symptoms when energy levels drop?
__________________________________________________________________________
What do you do when your energy levels drop?
__________________________________________________________________________
www.compassrosenutrition.ca
Food and habits that INCREASE energy
As we go through this next section, write down the ones you ARE good at on the left. And the
ones that need work, on the right. 
GOOD AT NEEDS WORK
_____________________________________ _____________________________________
_____________________________________ _____________________________________
_____________________________________ ____________________________________
_____________________________________ _____________________________________
_____________________________________ ____________________________________
_____________________________________ _____________________________________
_____________________________________ _____________________________________
_____________________________________ _____________________________________
_____________________________________ ___________________________________
_____________________________________ _____________________________________
_____________________________________ ____________________________________
_____________________________________ ____________________________________
_____________________________________ _____________________________________
_____________________________________ _____________________________________
www.compassrosenutrition.ca
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Completed 6 March 2021

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