Resources

Symptom Tracking Sheet

Posted by Janet McKenzie, ND on

Use this sheet to record your symptoms daily or periodically. It will help you and your health practitioner evaluate your response to treatment.

SYMPTOM TRACKING SHEET
SymptomCurrentTwo Weeks1 Month3 Months
Pain Level
1 = low, 10 = high
Fatigue Level
1 = low, 10 = high
Sleep Quality
1 = low, 10 = high
Mood
1 = low, 10 = high
Other Symptoms
(list below)
Summit Natural Health Centre | 5133 Dundas Street West, Etobicoke ON M9A 1C1 | 416-236-7642 | contactus@summitnaturalhealth.ca