\begin{tabular}{ |p{4.9cm}|p{4.9cm}|p{4.9cm}| }
	\multicolumn{3}{l}{Look For:} \\
	\hline
		\textbf{Health} & \textbf{Tasks This Week} & \textbf{Notes} \\ \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
		\multirow{3}{*}{} & & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \cline{2-3}
			& & \\ [0.402cm] \hline
\end{tabular}

\begin{tabular}{ |p{15.54cm}| }
		Goals for this Week \\ \hline
		 \\ [4mm] \hline
		 \\ [4mm] \hline
		 \\ [4mm] \hline
		 \\ [4mm] \hline
	\multicolumn{1}{l}{Grateful For:} \\
	% This is a bit of a kludge to get rid of left and right borders, but it works.
\end{tabular}
