Migraine Diary Form Template
Track Your Migraines Effectively with This Simple Template
Struggling to pinpoint your migraine triggers can be incredibly frustrating. This Migraine Diary Form Template is designed to help you systematically record your migraine symptoms, duration, and triggers, enabling you to share essential data with healthcare providers for better diagnosis and treatment. With this easy-to-use template, you can monitor patterns over time, increase awareness of your triggers, and develop effective coping strategies. Get started on your journey to a clearer understanding of your migraines with this handy tool.
When to use this form
This form is useful if you have recurring headaches or suspect migraines. Use it daily or during an active treatment change to spot triggers and measure what works. Track start time, duration, pain score, symptoms, medications, and impact on work or school. Share entries before a neurology or primary care visit so your clinician can adjust prevention or acute therapy. Parents can log episodes for teens, and staff can document workplace impact. It also pairs well with a Symptom screening form to capture non-headache signs, and a General health appraisal form to note sleep, stress, and diet. The result: clearer patterns, fewer surprises, better care.
Must Ask Migraine Diary Questions
- When did the headache start, and how long did it last?
Timing helps you spot patterns by time of day, hormones, weekends, or activity level. It also lets you see whether early treatment shortens attacks over time.
- Where is the pain located, and how would you rate the intensity (0-10)?
Location and severity guide diagnosis and treatment choices. Using a consistent 0-10 scale makes episodes easy to compare and shows if prevention is working.
- Which symptoms did you notice (aura, nausea, light or sound sensitivity)?
Associated symptoms support a migraine diagnosis and flag changes that need attention. They also match what providers review in a Clinical assessment form.
- What possible triggers occurred beforehand (sleep loss, stress, foods, hormones, weather)?
Seeing what precedes attacks helps you test avoidance and lifestyle changes. It also gives clear context when you complete a Medical assessment form ahead of a visit.
- What treatment did you use, at what dose, and how well did it work?
Documenting drug name, dose, timing, and relief shows what is effective and helps avoid medication overuse. Your notes make it easier for your clinician to adjust plans and set follow-up.
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