Symptom & Pain Log
Doctor-Ready: Rate Each Day 0 to 10, Spot What Sets It Off, and Bring Your Doctor a Week of Notes They Can Read in a Minute
by An Thanh Tùng
- PDF on Etsy, coming November 2026Printable and fillable · Full (7 pages) and Simple (2 pages) · US Letter, A4 and 6 x 9 in · instant download
About this log
One line a day for migraine, IBS or long-term pain. Then one page your doctor can read in a minute.
Ten minutes with your doctor can't hold months of pain. This log shows you how to note each day so the notes can be trusted: a 0 to 10 scale, eight common triggers, your medicines and the days it stopped your day. Then it turns a week of notes into one page your doctor can read.
Type into the fillable PDF and it does the counting for you: each day takes the color of its worst level, and your days with symptoms, average level, worst day, pain-medicine days and your three most common triggers are worked out as you type. Write your personal target from your doctor once and the log tells you when you're above it. The For my doctor page fills itself in, and one button prints or saves just that page.
How it works
- NoteEach evening, write the worst level of the day (0 to 10), tick what happened in the 24 hours before, and note any medicine.
- LogType it into the fillable PDF, or write on the printed page. Days with symptoms, average level and top triggers add up for you on screen.
- ShareTap Print / save for my doctor and bring the one-page summary, or send it, before your visit.
What you get
- Start here: 8 habits for notes you can trust, the 0 to 10 scale, when to call your doctor or 911, and how to use the log three ways
- Lena's first week: a filled-in example with notes on the worst day, a trigger that keeps coming back and a medicine day
- My 7-day log: symptoms and where, start time, hours, worst level, eight possible triggers, medicine and whether it stopped your day
- My monthly log: one line a day for a month, with a medicine tick and a note on what helped
- For my doctor: days with symptoms, average level, worst day, hours, pain-medicine days, your top triggers, medicines tried, symptoms that came along and questions
- My plan, at a glance: a fridge card with your target, triggers to watch, what to do at the first sign and your medicines by time of day
- Smart fillable PDF (Adobe Acrobat Reader): counts, averages, top triggers and the doctor page fill in by themselves, and a Print / save for my doctor button prints only that page
- A Simple edition with just the 7-day log and the doctor page, for anyone just starting
- Free Symptom & Pain Bonus Pack: Trigger Pattern Finder, flare plan and wallet cards
For tracking and sharing with your health care team. It does not diagnose or treat any condition.
Look inside
Pages from the log
The real pages, as they print. Tap a page to read it.
- Start here: log it right
- My 7-day log
- My monthly log
- For my doctor
- Fridge card and checklists
- Your next step
- Simple edition: 7-day log
- Simple edition: for my doctor
Worked examples
See it filled in
Every log opens with example pages, so you know exactly what to write before you start.
- Lena's first week
Free with the cards
Extras
Free Bonus Pack
Open
Coming November 2026
Get an email when it's out
One email when it's on sale, with the link. You can already get the free Bonus Pack below.
This log is for tracking and sharing with your health care team. It is not medical advice and does not diagnose or treat any condition.
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