Free Worksheets


BLANK WORKSHEETS

Copy and paste any of these blank worksheets you need. You can make multiple copies for your own use. If one of these forms is confusing, get help at Live Well Within Your Means.  The book is available at amazon.com

The forms are listed in the order which mirrors when they appear in the book.  

                                              

 1. MONEY HISTORY

CHRONOLOGICAL MONEY HISTORY

Major Money Events/Attitudes:

BACKWARDS MONEY HISTORY

Major Money Events/Attitudes:

EVENTS MONEY HISTORY

Major Money Events/Attitudes:

 ********************************************************************************************************************

                                      2.  SPLURGE TRIGGERS

Splurge Triggers

When

What To Do Instead of Splurging

Certain events: names

Certain people: names

Certain Stores: names

Faulty Reasoning

Inaccurate Arithmetic

Obsessions

Poor Impulse Control

Short Memory

*************************************************************

 

 

                                   

3. ENDURING DREAMS

Describe the Real Dream

When did I first think of it?

How often have I daydreamed details of it?

Who thinks I should not do this and why?

How is it positive for me?

How is it positive for others?

*****************************************************************************************

4. DREAMS I WANT

CREATURE COMFORTS

 

 

EXPERIENCES

 

WORK I WOULD LOVE

OTHER GOALS

For  Me

OTHER GOALS

For Others

*******************************************************************************

5.  BACKWARDS GOAL-SETTING

1.      Major Goal

2.      Date To Complete

3.      Date & Goal To Accomplish Just Before Getting To Major Goal

4.      Date & Goal To Accomplish Just Before Getting To Above Goal

5.      Date & Goal To Accomplish Just Before Getting To Above Goal

6.      Date & Goal To Accomplish Just Before Getting To Above Goal

7.      Date To Accomplish: this week

************************************************************************************

 

 6. PARALLEL  SAVINGS for DREAMS

Dream

Savings Needed

Yearly Breakdown

Save Monthly 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 ******************************************************************
  7. SPENDING  CATEGORIES

Business Personals:

Investments:

Emergency Fund:

Food:

Taxes:

Debt Repay’t:

Transportation:

Clothes:

Gifts:

Health:

Self Care:

Other:

Housing:

Entertainment:

Vacation:

******************************************************************
8. ONE-DAY-SOON MONTHLY SPENDING PLAN

Item

Present $

Ideal $

Item

Present $

Ideal $

Item

Present $

Ideal $

Item

Present $

Ideal $

 ******************************************************************************************************

9. INCOME SOURCES

 

NAME

$

NAME

$

NAME

$

TOTAL INCOME: $

 

******************************************************************************************************

 
              10.  INCOME TRACKING
SOURCE
DUE DATE
AMOUNT
MONTHLY INCOME
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TOTAL
 
 
$

 *****************************************************************************************************************

11. DRAW FROM INCOME
Client
Invoice # & Date
Billed Amount or Pay Earned
Due Date
Projected Monthly Total
Amt Paid & Date
Draw $
& Date
Running
Balance
 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
COMMENTS:

 *****************************************************************************************************************

 12. SPENDING RECORD on Paper
Week Date:
Monday
 
 
Tuesday
 
 
Wednesday
 
 
Thursday
 
 
Friday
 
 

Saturday
 
 
Sunday
 
 
 
 
MY SPENDING RECORD on Paper
Week Date:
Monday
 

Tuesday
 
 
Wednesday
 
 
Thursday
 
 
Friday
 
 
Saturday
 
 
Sunday
 
 
 
MY SPENDING RECORD on Paper
Week Date:
Monday
 
 

Tuesday
 
 
Wednesday
 
 
Thursday
 
 
Friday
 
 
Saturday
 
 
Sunday
 
 
 
MY SPENDING RECORD on Paper
Week Date:
Monday
 
 
Tuesday
 
 
Wednesday
 
 
Thursday
 
 
Friday
 
 
Saturday
 
 
Sunday
 
 
 

 ****************************************************************************************************

13. SPENDING RECORD TALLY

 

Category

Month 1 Spending

Month 2 Spending

Month 3 Spending

Average per Month

TOTALS

 
**********************************************
 
 
14. BILL CATEGORIES 
                

MONTHLY

YEARLY

***************************************************************************************************************

 
 
15. MONTHLY SPENDING PLAN:  BILLS

FAMILY INCOME:

$

BILLS

COSTS

TOTAL BILLS

**************************************************************************************************

16. MONTHLY SPENDING PLAN:  SEPARATED BILLS
INCOME
$
Partner 1
$
Partner 2
BILLS
 
COSTS
COSTS
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 
TOTAL
$
$

 

 ***********************************************************

 

17. HARMS I’VE DONE

 

The Harm

Who I  hurt

Is it a secret?

What I might have done instead.

How do I make it right?

 

 

 

 

********************************************************

 

18.  INSURANCE  RECORD

 

Insurance Company

Policy #

Coverage

Cost/mo

Payment Date

Address

Phone

Contact

Person

 ***************************************************************************************

 

19. BILL SCHEDULE

 

1st of the month

15th of the month

INCOME: $

INCOME: $

Bills:

Bills:

Total: $

Total: $

Balance: $

Balance: $

***********************************************************
 
20. INCOME vs BILLS
1st of the month
15th of the month
INCOME: $

INCOME: $
Total Bills: $

Total Bills: $
Balance: Income minus expenses:
 
 
$
Balance: Income minus expenses:
 
 
$

 ********************************************************************


21.  BILL CALENDAR

 

Month:           

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

Income Balance

Total Income Expected: $

Total Bills: $

Surplus: $

1

Rent/Mortgage $

2

3

4

5

6

7

$

8

9

10

11

12

13

14

$

15

16

17

18

19

20

21

$

22

23

24

25

26

27

28

$

29

30

31

1

Rent/Mortgage $

$

 *********************************************************************************************************************

22. PRE-SET  SAVINGS

Income:

Partner 1: Net pay less Bills = Savings $_____

Partner 2: Net pay less Bills = Savings $______

Savings Category

Amount

Amount

BUSINESS PERSONALS

computer

paper

postage

supplies

trade magazines

CLOTHES-FAMILY

accessories

garments

laundry/dry cleaning

shoes/repairs

DEBT REPAYMENT

DEPENDENTS

allowance

classes

elder care

family events

pet care/vet

school

sitters

sports

parties/outings

transportation

EDUCATION

books

parking

supplies

tuition

workshops

ENTERTAINMENT

books

CDs

clubs

concerts

dates

DVDs

hobbies

houseguests

magazines

newspaper

sightseeing

theatre

FOOD

coffees/teas/drinks

groceries

restaurants

snacks

GIFTS

anniversaries

baby

birthday

cards

celebrations

father’s/mother’s day

holidays

weddings

work

HEALTH

chiropractor

glasses/contacts

remedies

HOUSING

decor

furniture

gardening

maid/contract labour

maintenance

moving

INVESTMENTS

contributions

RRSPs

TFSAs

TRANSPORTATION

maintenance

parking

repairs

SELF CARE

cosmetics

hair

manicures

massage

pedicure

SPIRITUAL GROWTH

Books/CDs

classes

donations

VACATION:

Goal: $

TOTAL

$

$

Source:Adapted from The Numbers: One Approach, Debtors Anonymous

 ***************************************************************************************************************************

23. SAVINGS CATEGORY PAGE

CATEGORY NAME:                         AMOUNT or PERCENT to be SAVED:
Date
Action
Deposits/Expenses
Balance
 
 
 
 
 
 
 

 
 
 

 
 
 
 

 
 
 

 
 
 

*********************************************************************

24. MINI- SPENDING PLAN for CHRISTMAS

 

     Year: 2xxx

Cost

Running Balance:  $

Charity: (church$ —  donations $—)

Christmas Tree

Company Visits

Decor, wrap, gift bags, stamps, cards

Extended Family Gifts: #— people: About $— each

Family Outing :food —- tickets—-

Immediate Family Gifts: — kids, — adults: $— each

Other gifts: Letter carrier, paper delivery person, — neighbours, — work people, — friends. About $— to $— each.

Out -of -town Mailing Costs

Mini-Emergency Fund

Special Food

 ******************************************************************************************************************

25. FAMILY VISIT MINI-SPENDING PLAN

 

$——– Available

Cost

Activities/sightseeing

Airfare

Food

Gifts

On route Expenses: airplane or airport

Mini-Emergency Fund

Souvenirs

Transportation: taxi to airport & back

Trip Preparation:

Other

*************************************************************************

26. VACATION MINI-SPENDING PLAN

 

$—– Available

Cost

Balance $—–

Activities/sightseeing

Airfare

Evening drinks and Entertainment

Food

Hotels/Resort/Cruise

On route Expenses: airplane or

airport

Mini-Emergency Fund

Souvenirs

Transportation

Trip Preparation

Tips

 ***********************************************************************************************************

27.  BABY MINI-SPENDING PLAN

Savings

$——–

Activities

Babysitting

Clothes/

Bedding

Diapers

Food

Furniture

Gifts

Pregnancy Prep

Mini-Emergency Fund

Religious Ceremony

Toys

Other

**************************************************************************************************

                                    28. VACATION TRACKING RECORD       

Savings: $————–

Amount

Allotted

Activity

Air

Night Fun

Food

Hotel

On

Route

Mini-Emergency Fund

Souvenirs

Taxi

Tips

Trip

Prep


 *******************************************************************************************************

 

29. EDUCATION INCOME PLAN

         

Year 1

Year 2       

YEAR 3

YEAR 4

YEAR 5?

Total:

Total:

Total:

Total:

Total:

 ******************************************************************************************************************************

30. EDUCATION SPENDING PLAN

 

Item

Cost

Books

Clothes

Entertainment

Food

Gifts, e.g. Christmas, birthdays, anniversaries

House Supplies, e.g., cleaning

Hygiene, e.g., shampoo

Rent

Transportation

Tuition

Unexpected expenses, e.g., field trip

Utilities

Other

TOTAL

 ************************************************************************************************************

 31. DEBT REDUCTION ATTEMPTS

TYPE

WHEN

HOW MANY TIMES

RESULT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 ***********************************************************************************************

 

32. DEBT RECORD

 

CREDITOR

DEBT

INTEREST RATE

MIN. PAY’T

PAYMENT DATE

ADDRESS

PHONE

CONTACT PERSON

******************************************************************************
33. DEBT REPAYMENT SCHEDULE
Creditor
Debt
Interest Rate
Pay’t  %
Pay’t Amt
Payment Date
Address
Phone
Contact Person
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 ***********************************************************************************************

34. INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Am’t     

Due Date

Date Pd    

Balance

INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Amt     

Due Date

Date Pd    

Balance

INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Am’t     

Due Date

Date Pd    

Balance

INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Amt     

Due Date

Date Pd    

Balance

INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Am’t     

Due Date

Date Pd    

Balance

INDIVIDUAL DEBT REPAYMENT RECORD                                                 

Creditor

Debt Total   

Pay’t Amt     

Due Date

Date Pd    

Balance

 **********************************************************************************************************

35.  ALL CREDITORS LOG

Creditor

Contact Person

Type of Contact

Date

Action Agreed to

Start Date

Written confirmation/

date

*****************************************************************************
36.CREDITOR CONTACT LOG– INDIVIDUAL

 

Creditor

Contact Person

Type of Contact

Date

Action Agreed On

Start Date

Written Confirmation & Date

Problems:  

Creditor

Contact Person

Type of Contact

Date

Action Agreed On

Start Date

Written Confirmation & Date

Problems:

 

Creditor

Contact Person

Type of Contact

Date

Action Agreed On

Start Date

Written Confirmation & Date

Problems:

***********************************************************************

 

37. COMPLAINT LOG

 

Date

Letter email text phone call

Company &

Person Contacted

Problem

Date of Response

& Summary

Results

Comments

 

**************************************************************************************************************

38.  CRISIS STORIES

 

Situation

What Happened

How It Could Have Gone Wrong

 ******************************************************************************************************************************

39. VIRTUES

SPIRITUAL VIRTUES

1

2

3

4

5

6

CHARACTER FLAWS

Agreeable

Disagreeable

Assertive

Passive, Withdrawing

Balanced Emotionally/ Spiritually

Smug, Complacent

Calm

Worried

Caring

Indifferent

Cheerful

Depressed

Confident

Fearful, Apprehensive

Considerate

Selfish

Consistent

Inconsistent

Content

Envious

Cooperative

Domineering

Courteous

Rude

Discreet

Gossiping

Forgiving

Resentful

Generous /Service

Selfish

Helpful

Self-Indulgent

Honest

Dishonest

Hopeful

Despondent

Humble

Arrogant

Industrious

Lazy

Kind

Cruel

Loving

Indifferent

Making Use Of Gifts and Abilities

Disinterested In Yourself

Open-Minded

Smug, Stubborn

Outgoing

Withdrawn

Patient

Irritable

Perceptive

Judgmental

Prompt

Procrastinating

Purposeful

Aimless

Realistic

Impractical

Relaxed

Tense

Responsible

Unreliable

Sincere

Deceitful

Stable

Panicky, Violent

Thankful

Ungrateful

Thoughtful

Self-Pitying

Tolerant

Small-Minded

Trusting

Suspicious

Trustworthy

Gossiping

Willing To Admit Faults

Self Righteous

Source: Blueprint for Progress: Alanon


 


 

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