Pain And/or Fatigue Diary

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Pain and/or Fatigue Diary
When
Situation
Pain / Fatigue
Emotion/s
Thoughts
Alternative, more helpful
Date/time
What was I doing,
Describe & Rate
Frustrated, anxious,
What went through my mind at
Thought & Response
where, who with, how
0 (none) – 10 (max)
angry, depressed,
that time? What did that mean
Is there another way of looking at
long for?
sad, scared etc
to me or say about me? What
this? What would be more helpful
really upset me about that?
– for me and for the situation?

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