Head Pain Diary
Use this head pain diary to track your migraines and headaches.
A head pain diary can be an invaluable tool for diagnosis and proper treatment. It will help track triggers, patterns and the effectiveness of any medications you are taking. If you are just staring to investigate the cause of your pain, it is especially important to include any warning signs you may notice as well as your emotional state, your food intake and the amount of sleep you are getting.
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Date |
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Start time |
am / pm |
am / pm |
am / pm |
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End time |
am / pm |
am / pm |
am / pm |
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Intensity (1 to 5 scale) |
1 2 3 4 5 |
1 2 3 4 5 |
1 2 3 4 5 |
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Location of pain (behind the eyes, base of head, etc.) |
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Treatment medications |
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Other relief actions taken |
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Effect of treatment |
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Any recognizable warning signs? |
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Where were you just beforehand? |
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Who were you with just beforehand? |
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What were your emotions at onset? |
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What did you eat or drink beforehand? |
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Possible triggers? |
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Hours of sleep last night? |
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Comments |
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