Personally, I have a daily or weekly to do list that I put in a notepad file which resides in my startup items folder in Start > Programs. That way every time I start my computer up I've got my to do list staring me in the face, and its really easy to add things or cross things off. And whenever I'm looking for something to do I know exactly where to look.
As far as long term goals, I have those written down somewhere...but most of my daily or weekly goals are baby steps towards my bigger, long term goals, and I find doing it this way keeps me on track for my larger goals.
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