Symptom Tracking Sheet

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 Symptom Current Two Weeks 1 Month 3 Months Pain Level1 = low, 10 = high Fatigue Level1 = low, 10 = high Sleep Quality1 = low, 10 = high…

Illness Severity Rating Sheet

Use this tool to rate your condition as often as you need to. Share your ratings with your healthcare provider to evaluate your progress and response to treatments. Illness Severity Rating Sheet Rating Description 0 No symptoms. Able to sustain a normal level of activity. 10 Occasional mild symptoms. Able to sustain a normal level…