Sample List of Things to Do

Name: _______________________ Month:_______ Year:_____ Day:_______ Date:________
TO DO List ¨Check O When Complete or
Transfer Incompleted Tasks to
Next or Other Day
¨ END OF DAY WRAP UP
¨
¨Check Completed “To Do’s”
¨
¨Transfer Incomplete Tasks - Next/
Other Day
¨ ¨
¨
¨Fold Page Edge at End of Day
ACTIVITY
Notes (Who, What, When, Where,
How/Why)
8:0
0
¨
8:3
0
¨
9:0
0
¨
9:3
0
¨
10:
00
¨
10:
30
¨
11:
00
¨
12:
00
¨
1:0
0
¨
1:3
0
¨
2:0
0
¨
2:3
0
¨
3:0
0
¨
3:3
0
¨
4:0
0
¨
4:3
0
¨
5:0
0
¨
6:0
0
¨
6:3
0
¨
7:0
0
¨
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