MyChart
Diary of Symptoms
Overview
You can help your doctor diagnose and treat your condition by being prepared to answer questions about your symptoms. Since some symptoms are difficult to describe, it is helpful to write down information about your symptoms as you experience them during your daily activities.
While waiting for your appointment, keep a diary of your symptoms. This form may help.
Describe the symptom for which you are keeping this diary:
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Day |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
|---|---|---|---|---|---|---|---|
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Time of day the symptom starts |
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Time of day the symptom bothers you the most |
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Does the symptom come and go during the day? |
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Is the symptom affected by any of the following:
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What other symptoms do you have: |
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Rate how you felt today: 1 - Great 2 - Okay 3 - Not good 4 - Bad |
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Other information about your symptom: |
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Related Information
Credits
Current as of: February 25, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: February 25, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
