Weekly Nervous System Check-in Worksheet (Printable PDF)

A 5–10 minute reset for overwhelmed weeks

Some weeks, you’re not broken.
You’re just dysregulated.

This simple check-in helps you slow down, name what’s actually happening in your body, and make one small repair that creates peace—without overthinking or emotional digging.


What The Nervous System Snapshot Is

A 10-page printable PDF you can use once a week to:

  • Identify your nervous system state
  • Notice emotional and behavioral patterns without self-blame
  • Reduce overwhelm by turning insight into one clear action

It’s structured, gentle, and designed for low-energy weeks.


What’s Inside?

✔ A weekly nervous system “weather” check
✔ Trigger mapping (body → emotion → thought → behavior)
✔ Pattern recognition (sleep, food, screens, stress, etc.)
✔ A calming “put it into words” exercise
✔ Space to track wins (even tiny ones)
✔ One repair that actually reduces stress next week
✔ A small, realistic reset plan
✔ A gentle closing page for reflection

No fluff. No affirmations. No pressure to “heal everything.”


How to Use it?

  • Use once a week (not daily)
  • Answer quickly—first honest answer only
  • Skip any section that feels like too much

If all you do is name your nervous system state, that’s enough.


Printable

  • Designed for printing and handwriting
  • US Letter size (prints easily at home)

Who This is For

This is for you if:

  • Feel overwhelmed, anxious, shut down, or overstimulated
  • Want clarity, not emotional excavation
  • Prefer structure over blank pages
  • Journaling feels like “too much” right now

Not Sure if This is For You?

That’s okay.

This check-in is based on a free article in which I explain the thinking behind it and walk through the framework in detail.

If you’re not convinced, read the article first.
This PDF simply turns that content into a clear, reusable weekly tool.

No surprises. Full transparency.


Why it Works

  • Naming emotions reduces nervous system reactivity
  • Patterns become visible without self-judgment
  • Small repairs prevent bigger burnout later

This is about regulation, not productivity.


Price

💜 $2
Intentionally low, so you don’t have to overthink buying it.

If PayPal isn’t your preference, that’s okay. Choose PayPal at checkout to pay securely with your debit or credit card.


Important Note

This is a self-reflection tool, not therapy or medical advice. If this brings up more than you can hold alone, please reach out to a trusted person or mental health professional.