Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Logs and Forms

Logs and Forms

Ratings: (0)|Views: 33 |Likes:
Published by JodieLyn
Journal forms for you to keep track of symptoms and activity. Print and use what you need. A good idea is to journal for a month then take to doctor for assessment.
Journal forms for you to keep track of symptoms and activity. Print and use what you need. A good idea is to journal for a month then take to doctor for assessment.

More info:

Published by: JodieLyn on Apr 15, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

02/06/2013

pdf

text

original

 
From The Patient’s Guide to Chronic Fatigue Syndrome and Fibromyalgia
2006 by Bruce Campbell
Activity Log
Symptoms & SeverityDayHoursSleepHoursRestActivities and EventsPain Fatig Fog OtherComments RatingMonTueWedThrFriSatSun
 
From The Patient’s Guide to Chronic Fatigue Syndrome and Fibromyalgia
2006 by Bruce Campbell
Envelope Log
EnergyLevelActivityLevelSymptomLevelComments
AMPM
   M   O   N
EVEAMPM
   T   U   E
EVEAMPM
   W   E   D
EVEAMPM
   T   H   R
EVEAMPM
   F   R   I
EVEAMPM
   S   A   T
EVEAMPM
   S   U   N
EVE
Scale:
 
1 = no energy, no activity or no symptoms10 = energy of healthy person, high activity level orworst symptoms imaginable
 
From The Patient’s Guide to Chronic Fatigue Syndrome and Fibromyalgia
2006 by Bruce Campbell
Symptom Log
Symptoms
FatiguePainFogginess/MemoryPoor SleepDepression/Mood ChangeEyes/Light SensitivityAbdominal PainDizzy/Balance ProblemsHeadacheJoint PainLymph Node TendernessSore ThroatScale: None Mild Moderate Severe Very Severe0 1-3 4-6 7-9 10

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->