MS Journal: Pain and Symptom Tracker for Multiple Sclerosis, Record Book for Daily Assessment of Mood, Sleep, Activities, Medication; a Logbook for Chronic Autoimmune Disease Management

Daily Assessments and Symptoms

Daily Assessments - mark the following as 'Up/Better, Same/Neutral, Down/Worse, or None' - Energy, Strength, Balance, Vision/speech, Digestion, Stiffness/spasms, numbness/tingles, bladder/bowel, hand function, Mental Clarity, Mobility, Pain.

Symptoms - rate the pre-listed items, along with trigger, what you tried to alleviate it and whether your attempt worked.

Includes: fatigue, weakness, vision, vertigo, mental fog, stiffness/spasms, numbness/tingling, hand function, bowel and bladder, mobility, and blank space for your addition

Medications and Activities

Daily Activities - select from prelisted options and enter the time as desired. Options include employment, childcare, house/yard work, commute, shopping, hobbies, exercise and more. * Note that there is a completed sample further on.

Additional Activities -space allocated to add further activities, time spent and how you felt during it.

Medications - mark 'Usual Daily Medications' and/or 'Usual Daily Supplements' OR list medications along with reason, dose, time taken, and whether it helped

Triggers/Concerns, Weight, Pain locations, Mood and Sleep

Rate the day overall

Triggers/Concerns - select from pre-listed options including medications, infection, alcohol, trauma, weather, lack of sleep, heat, stress and more.

Weight, blood sugar, blood pressure

Note the weather

Rate General Mood as Up, Neutral, Down

Rate Sleep Quality as Up, Neutral, Down

Pain/Symptom Location - mark on body images

Note - for additional information, questions, insights

Meals and Snacks

List meals and snacks, when eaten, if there were any issues with the meal. Easily mark if it contained dairy, gluten, sugar or fats.

Hydration

Sample Section completed

Sample Activity Section Completion

Left Page

Right Page

Personal Information page

Personal information including emergency contact, allergies, medical alerts.

Also holds doctor information, pharmacy and insurance details.

Medical Appointments and Tests

Tests, date performed and results.

Appointments, with whom, why and date

Current Medications & Changes to Medications

Current medications with reason, and refill due date.

Changes to medications and supplements along with the reason, adjusted dose and effective date.

Blood Pressure Log

Blood Pressure Log