Adrenal Fatigue Symptom Tracker

Use this worksheet to keep track of your symptoms during your treatment for Adrenal Fatigue. Simply enter your score in each of the
boxes and add up the total. As you start to feel better, this should be reflected in lower scores each week. Use the chart on the last
page to monitor your progress and stay motivated. You can also show this worksheet to your doctor when discussing your symptoms.
Note: Answer each question with a score from 0 to 10 (higher score = worse symptoms). Complete one column each week.

Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10

Are your energy levels low first

thing in the morning?
Do you see a crash in your
energy levels in the mid-
afternoon?
Are you easily overwhelmed by
pressure or stressful situations?

Do you suffer from allergies,

eczema or food sensitivities?
Do you struggle to cope with your
daily responsibilities the way you
used to?
Do you crave salty foods and/or
sugary snacks?
Have you noticed a weakening in
your sex drive?

Do you regularly find yourself

unable to think straight or
multitask?

Total Score (max = 80)

This symptom tracker is included with the Adrenal Fatigue Solution program.
Not to be forwarded or used without permission. Copyright Perfect Health Ltd.
These statements have not been evaluated by the Food and Drug Administration.
This product is not intended to diagnose, treat, cure, or prevent any disease. Page 1
Adrenal Fatigue Symptom Tracker
Use this worksheet to keep track of your symptoms during your treatment for Adrenal Fatigue. Simply enter your score in each of the
boxes and add up the total. As you start to feel better, this should be reflected in lower scores each week. Use the chart on the last
page to monitor your progress and stay motivated. You can also show this worksheet to your doctor when discussing your symptoms.
Note: Answer each question with a score from 0 to 10 (higher score = worse symptoms). Complete one column each week.

Week 11 Week 12 Week 13 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20

Are your energy levels low first

thing in the morning?
Do you see a crash in your
energy levels in the mid-
afternoon?
Are you easily overwhelmed by
pressure or stressful situations?

Do you suffer from allergies,

eczema or food sensitivities?
Do you struggle to cope with your
daily responsibilities the way you
used to?
Do you crave salty foods and/or
sugary snacks?
Have you noticed a weakening in
your sex drive?

Do you regularly find yourself

unable to think straight or
multitask?

Total Score (max = 80)

This symptom tracker is included with the Adrenal Fatigue Solution program.
Not to be forwarded or used without permission. Copyright Perfect Health Ltd.
These statements have not been evaluated by the Food and Drug Administration.
This product is not intended to diagnose, treat, cure, or prevent any disease. Page 2
Symptom Tracker Chart
You can use this chart to monitor your progress during your recovery from Adrenal Fatigue. Simply take your score for each week and
plot it on the chart. If you are following our recommendations on diet, lifestyle, supplementation and more, you should be feeling better
and your score should be dropping. If you connect the plot points, you should see a line trending downwards from the top-left to the
bottom-right.

80

70

60

50
Score

40

30

20

10

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

This symptom tracker is included with the Adrenal Fatigue Solution program. Week
Not to be forwarded or used without permission. Copyright Perfect Health Ltd.
These statements have not been evaluated by the Food and Drug Administration.
This product is not intended to diagnose, treat, cure, or prevent any disease. Page 3