"MY SELF CARE SCORE CARD "
NAME /Age : ASSESSMENT MONTH
:
MOBILE NUMBER : COACH NAME :
AP NAME : SUPER COACH NAME
:
Category Si.NO Activity Frequency SCORE Remarks
Day-1 > 10Points,
1 Self care Day ( Book Order ) Every Month InBetween Days > 5Points
Not ordered > 0 Points
Rs.10000+ on Day-1 ---->
10 Points, Rs.5000+ on
2 Self care Day ( Supplement Order ) Every Month Day -1---------> 5 Points
Rs.10000+ Before 10th > 3 Points
Rs.5000+ anyday > 1 Point
Min 60 Minutes > 10 Points
3 Daily Book Reading EveryDay Min 20–30 minutes ----> 5 Points
Min 10–19 minutes ----> 1 Point
Full Attendance ( (Full active
4 MM Attendance EveryDay presence)---> 10 Points Partial
Attendance (Came late / left early ) ----
> 5 Points
Absent ----> 1 Point
Video ON Full Session > 10Points
5 MM Video ON status EveryDay Video ON Partial / Video OFF----
> 5 Points No Video ON at all
----> 0Point
Consistently Adoption ,Truly
MASTERY IN MINDSET,HEALTH, WEALTH, REALTIONSHIP
6 21 days Tracker sheet adoption EveryDay consistent!----> 10 Points Occasionally
adoption. Need to improve ---->
5Points Rarely Adoption , Keep
building focus ----> 1Point
In My Control 100% ----> 10
First 3hrs of the Day (4 AM - 7 AM) in
7 EveryDay Points Partially in my Control
My Control Positve & Productive ----> 5 Points Some days only
in my control----> 1 Point
Consistently sleeping between 10 pm – 4 am >10 Points
8 Sleep Cycle ( with Yoganithra) EveryDay Occasionally sleeping between 10 pm~4am > 5points
Sleeping after 10pm or inconsistent timing > 0point
Fully Active > 10Points
9 Physical Activity EveryDay Lightly Active > 5 Points
No Active > 0 Points
Consistently 30-40 minutes of sunlight exposure >
10 Sunlight Exposure EveryDay 10 Points
Occasionally 30–40 minutes of sunlight exposure >
5Points
Rarely 30-40 minutes of sunlight exposure > 1 point
Excellent hydration. Well-maintained water intake >
11 Hydration EveryDay 10 Points
Needs slight improvement in hydration > 5points
Insufficient hydration. Must increase water intake >1
Point
Consistently avoids packaged, junk, and
12 Food Quality EveryDay outside food ---> 10Points Occasionally
consumes packaged, junk, or outside food
----------------------------------------------> 5 Points
Regularly consumes packaged, junk, or outside food >0
Point
Consistently consumes Complex Carbohydrates >
13 Carbohydrate EveryDay 10 Points
Nutritious Food Intake
Occasionally consumes healthy carbs > 5Points
Rarely includes healthy carbs > 0point
More Complete protein ---> 10
14 Protein ( Aprox : 40-50gm/Day ) EveryDay Points Occasionally Complete
Protein-----------------> 5 Points
Rare Complete Protein > 0Point
Consistently (Daily) > 10Points
15 Vitamins & Minerals (Daily Plus EveryDay Moderately (Occasionally, 3-5 days/week) > 5Points
) Inconsistently (Rarely, 1-2 days/week) > 1Point
Excellent fiber intake > 10 Points
16 Fiber ( Aprox : 20-40gm/Day) EveryDay Moderate Fiber Intake > 5 Points
Needs significant improvement in fiber intake> 1 Point
Excellent Omega-3 intake > 10 Points
17 Healthy Fat ( Omega-3) EveryDay Moderate intake, needs to improve > 5 Points
Needs significant improvement in Omega-3 intake >1
Point
Consistently Following > 10 points
18 Using 5golden Principle of Eating EveryDay Occasionaly Following >5 Points
Rarely Following > 1 Point
Consistently Following > 10 points
19 IATT ( Income Acceleration thinking time) Every Week Occasionaly Following >5 Points
Rarely Following > 1 Point
10% Charity > 10points
20 Charity Every Month <10% Charity > 5points
<5 % Charity > 1 point
Consistently practiced > 10 points
21 Peopls Skill Adoption EveryDay Occasionaly Practiced >5 Points
Rarely Practiced > 1 Point
Fully celebrated Family Day > 10Points
22 Family Day Adoption Every Month Partially celebrated Family Day > 5Points
Missed celebrating Family Day > 1 Point
Followed > 10 Points
23 Social Day Adoption Every Month Not Followed > 1 Point,
Excellent time management > 10 Points
24 Time Boxing Daily Adoption EveryDay Needs little more discipline > 5 Points
Needs to build the habit > 1 Point
Highly Proactice Communiation, open to
25 AP Score ( Get it from your Ap) EveryDay feedback, action taker-10Points Moderately
Communiation -5Points
Rarely Communiation -1 Point
Total Score
Notes :
Score 220~250- > Ultimate Champion
Score 200~219---> Progressing Hero
Score 175~ 199- ->Emerging Warrior
Below 175-----> Fresh Starter
"Measure your efforts, Magnify your life"
