Recently I started a Word document to this effect, took a pocket Moleskine cahier apart, printed the checklist once on each side of each page and then stitched the cahier back together. It has been working very well for me but I have been modifying the Word document since I started using it.
I will scan the one I am using at some point (maybe even with the ticks and scribbles!) but, for now, here is a screenshot of the word document as it stands, unprinted, on my harddrive:
A long checklist of things that I MUST, SHOULD and COULD do every day.
Even as I am posting this I can see something I want to change... ;-p