Headache Diary - Vcu Student Affairs
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1Headache Diary
Diaries can be a useful tool to identify triggers, to keep track of your headaches, and to help your health care provider
better understand your headaches. The headache diary also helps monitor changes in headache frequency and severity.
An on-line headache diary is available at
Date:
Time Started:
Time Ended:
Warning Signs:
Type of Pain:
(e.g. piercing, throbbing, etc)
Intensity of Pain:
(circle one)
(Low) 1
2
3
4
5
6
7
8
9 (High)
Location:
(e.g. between eyes, back of head, etc)
Treatment or Medication Taken:
Effect of Treatment:
Hours of Sleep:
What I ate today:
Events prior to headache:
(e.g. strenuous activity, elevated stress, etc)
Comments
Date:
Time Started:
Time Ended:
Warning Signs:
Type of Pain:
(e.g. piercing, throbbing, etc)
Intensity of Pain:
(circle one)
(Low) 1
2
3
4
5
6
7
8
9 (High)
Location:
(e.g. between eyes, back of head, etc)
Treatment or Medication Taken:
Effect of Treatment:
Hours of Sleep:
What I ate today:
Events prior to headache:
(e.g. strenuous activity, elevated stress, etc)
Comments
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Parent category: Life