Digital Detox Challenge Weekly Check-In — Form Fields
This personal template includes 8 fields. Track screen time reduction progress and reflect on habits during a digital detox challenge. Free to customize and use on ZenBuild.
Your Name (text, required)
Challenge Week Number (text, required)
Average Daily Screen Time This Week (hours) (number, required)
Average Daily Screen Time Last Week (hours) (number, optional)
Digital Boundaries Maintained This Week (checkboxes, optional) — options: No Phone at Meals, No Screens Before Bed, Social Media Under 30 Min, No Work Email After Hours, Designated Phone-Free Zones
Overall Wellbeing This Week (rating, required)
What Did You Do Instead of Scrolling? (long text, optional)
Biggest Temptation or Slip This Week (long text, optional)