Headache Diary Form Template
Effectively Track Your Headache Patterns with Ease
Keeping track of your headaches can be a challenge, but a simple headache diary can make it easier. This headache diary template is designed for individuals suffering from frequent headaches who want to identify patterns and triggers, leading to better management strategies. You can note down symptoms, medication use, and potential triggers, helping you discuss your condition more effectively with healthcare providers, gain insights into your headache patterns, and ultimately find relief. Try out the template to start recording your headache experiences.
When to use this form
Use this log when you want clear patterns for migraines, tension-type, or post-concussion headaches. Track each episode before a clinic visit, after a medication change, or during hormonal shifts, travel, or new work stress. Parents can monitor a child's symptoms for school nurse or pediatrician. It is also useful after a head injury to document duration, triggers, and relief methods. Bring the report to appointments, or pair it with a Neurological exam form to give your provider objective context. If you want a broader picture of wellness trends, complete a Self-health assessment form or a General health appraisal form alongside your entries. The result: faster decisions and a treatment plan tailored to you.
Must Ask Headache Diary Questions
- When did the headache start and end?
Timing and duration reveal patterns, such as morning-onset or evening clusters, and show how long attacks last. This helps you and your clinician judge medication timing and effectiveness.
- Where is the pain located and how does it feel?
Noting side, area, and quality (throbbing, pressure, stabbing, burning) points to likely types and guides care. It also highlights changes that may need follow-up.
- How intense was the pain (0-10)?
A consistent scale makes your entries comparable over days and months. Clear severity trends support decisions about preventive therapy or dose adjustments.
- What happened before it began (sleep, stress, foods, screen time, weather, menstrual cycle)?
Identifying triggers helps you test changes, like caffeine limits or earlier bedtimes, and see what actually works. Over time, you can prevent more attacks instead of only treating them.
- What did you take or try, when, and how well did it work?
Recording medication name, dose, time, and side effects shows what brings relief and flags possible overuse. For a broader view of risks and habits, you can pair your log with a Health risk assessment questionnaire form.
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