Air Quality Chart:
Week One
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Did you
notice improvement in air quality?
|
No
|
No
|
No
|
No
|
No
|
Yes
|
No
|
|
Does
the air feel stuffy, stale, fresh, etc.? *Note which
|
It smells fresh today
|
It smells better than it did
yesterday
|
Smells fresh today
|
Air smells normal
|
I think the air feels more free today
|
Air smells fresh like summer
|
Saw no change in air today
|
|
Did
breathability improve from yesterday?
|
No
|
No
|
No
|
Yes
|
No
|
No
*Cold started today
|
Yes
|
Mood Chart:
*Fill out before after tending to
plants/being in room
|
Day of week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel happier than you did yesterday?
|
No
|
No
|
Yes
|
No
|
No
|
Yes
|
Yes
|
|
Did you
feel sad today?
|
No
|
No
|
No
|
Yes
|
Yes
|
No
|
No
|
|
Did you
have any arguments today?
|
No
|
No
|
No
|
Yes
|
Yes
|
No
|
No
|
|
Do you
feel less stressed relieved from yesterday?
|
Yes
|
Yes
|
No
|
No
|
No
|
Yes
|
Yes
|
|
***Anything
that could’ve affected mood list here
|
n/a
|
n/a
|
Process of changing my major
|
Got in a fight today with my mother
|
Stressed about life/school/work
|
n/a
|
n/a
|
Health Chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel that your general health improved from yesterday?
i.e.
breathing, sleeping?
|
No
|
No
|
Yes breathing
|
Yes
breathing
|
No
|
No
|
Yes breathing
|
|
Did you
get up in the middle of the night?
|
No
|
Yes
|
No
|
No
|
No
|
Yes
|
No
|
|
Could you
breath easier today than yesterday?
|
No
|
Yes
|
Yes
|
Yes
|
Yes
|
No
|
No
|
|
Did
your Asthma improve from yesterday?
|
No
|
No
|
No;
Attack today
|
Yes
|
Yes
|
No
|
Yes
|
Week Two:
Air quality chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Did you
notice improvement in air quality?
|
Yes
|
No
|
Yes
|
Yes
|
No
|
Yes
|
N/A
|
|
Does
the air feel stuffy, stale, fresh, etc.? *Note which
|
It smells better than it did
yesterday
|
Smells the same
|
Smells fresh today
|
Smells the same
|
Notice some change, feels fresher
|
Air smells normal today
|
Stayed at a friends house
|
|
Did
breathability improve from yesterday?
|
Yes
|
No
|
Yes
|
Yes
|
Yes
|
Feels the same
|
N/A
|
Mood Chart:
*Fill out before after tending to
plants/being in room
|
Day of week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel happier than you did yesterday?
|
Yes
|
Yes
|
Yes
|
Yes
|
No
|
No
|
N/A
|
|
Did you
feel sad today?
|
No
|
No
|
No
|
No
|
No
|
No
|
N/A
|
|
Did you
have any arguments today?
|
No
|
No
|
No
|
No
|
No
|
No
|
N/A
|
|
Do you
feel less stressed relieved from yesterday?
|
Yes
|
Yes
|
Yes
|
Yes
|
No
|
Yes
|
N/A
|
|
***Anything
that could’ve affected mood list here
|
n/a
|
n/a
|
n/a
|
n/a
|
Midterms approaching
|
n/a
|
N/A
|
Health Chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel that your general health improved from yesterday?
i.e. breathing,
sleeping?
|
Yes;
Sleeping
|
No
|
Yes; breathing
|
Yes;
breathing
|
No;
Got up in the middle of night
|
No
|
N/A
|
|
Did you
get up in the middle of the night?
|
No
|
No
|
No
|
Yes
|
No
|
No
|
N/A
|
|
Could you
breath easier today than yesterday?
|
No
|
No
|
Yes
|
Couldn’t tell
|
Yes
|
No
|
N/A
|
|
Did
your Asthma improve from yesterday?
|
Yes
|
No;
Attack today
|
Yes
|
Yes
|
Yes
|
Didn’t feel a change
|
N/A
|
Week Three:
Air quality chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Did you
notice improvement in air quality?
|
Yes
|
Yes
|
No
|
No
|
Yes
|
Yes
|
No
|
|
Does
the air feel stuffy, stale, fresh, etc.? *Note which
|
It smells fresh
|
Fresh again today
|
Smells the same
|
Smells the same
|
Air feels lighter today
|
Air smells normal
|
Air smells the same
|
|
Did
breathability improve from yesterday?
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
No
|
Mood Chart:
*Fill out before after tending to
plants/being in room
|
Day of week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel happier than you did yesterday?
|
Yes
|
No
|
Yes
|
Yes
|
No
|
Yes
|
Yes
|
|
Did you
feel sad today?
|
No
|
Yes
|
No
|
No
|
No
|
Yes
|
No
|
|
Did you
have any arguments today?
|
No
|
No
|
No
|
No
|
No
|
Yes
|
No
|
|
Do you
feel less stressed relieved from yesterday?
|
Yes
|
Yes
|
Yes
|
Yes
|
No
|
No
|
Yes
|
|
***Anything
that could’ve affected mood list here
|
N/A
|
Midterm today
|
N/A
|
N/A
|
Spring break coming up
|
Argument with boyfriend
|
N/A
|
Health Chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel that your general health improved from yesterday?
i.e.
breathing, sleeping?
|
No; attack today
|
Yes;
Breathing
|
Yes; Breathing
|
Yes;
Breathing
|
Feels the same
|
Feels the same
|
Yes; felt great when woken up
|
|
Did you
get up in the middle of the night?
|
Yes
|
No
|
No
|
No
|
No
|
No
|
No
|
|
Could you
breath easier today than yesterday?
|
No
|
Yes
|
Yes
|
Yes
|
No
|
No
|
Yes
|
|
Did
your Asthma improve from yesterday?
|
No; asthma attack today
|
Yes
|
Yes
|
Yes
|
Didn’t feel a change
|
Didn’t feel a change
|
Yes; air quality in room felt
wonderful
|
Week Four:
Air quality chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Did you
notice improvement in air quality?
|
No
|
No
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Does
the air feel stuffy, stale, fresh, etc.? *Note which
|
It smells the same
|
Can’t tell a difference
|
Air smells fresh
|
Air smells like nature, very green
and fresh
|
Air feels fresh today
|
Air smells light today
|
Air smells very new today
|
|
Did breathability
improve from yesterday?
|
No
|
No
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Mood Chart:
*Fill out before after tending to
plants/being in room
|
Day of week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel happier than you did yesterday?
|
Yes
|
Yes
|
No
|
Yes
|
No
|
Yes
|
Yes
|
|
Did you
feel sad today?
|
No
|
No
|
Yes
|
No
|
No
|
No
|
No
|
|
Did you
have any arguments today?
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
|
Do you
feel less stressed relieved from yesterday?
|
Yes
|
Yes
|
No
|
Yes
|
No
|
Yes
|
Yes
|
|
***Anything
that could’ve affected mood list here
|
No
|
Got a book I’ve been wanting today
|
Work is getting in way of school
|
Today was a good day
|
Normal day
|
Spring break is so close
|
No
|
Health Chart:
*Fill out when woken up
|
Day of
week
|
Sunday
|
Monday
|
Tuesday
|
Wednesday
|
Thursday
|
Friday
|
Saturday
|
|
Do you
feel that your general health improved from yesterday?
i.e.
breathing, sleeping?
|
No; bad headache today
|
Yes;
Breathing and headache gone
|
Yes; I feel brand new today
|
No; I feel the same
|
Yes; I feel rejuvenated
|
I feel the same today
|
Yes; I feel like dancing again today!
|
|
Did you
get up in the middle of the night?
|
Yes
|
No
|
No
|
No
|
No
|
No
|
No
|
|
Could you
breath easier today than yesterday?
|
No
|
No
|
Yes
|
Yes
|
No
|
Yes
|
Yes
|
|
Did
your Asthma improve from yesterday?
|
Couldn’t tell with pounding head
|
Couldn’t tell
|
Yes; no attack this week yet
|
Yes; I worked out today without an
attack
|
Didn’t feel a change
|
Yes; I ran today without attack
|
Yes; I danced today without attack
|
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