Attention Deficit Log Template
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1Attention Deficit Log
Name:
Date:
Medication:
Dosage:
Scheduled Doses:
Time
Activity
Focus
Feelings
Meds
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
NOON
12:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
Notes:
This daily Attention Deficit log is designed to help you better control your attention deficit. Record the activity you are focusing on
under activity, then rate your focus from 1-10 in under focus. Feelings, such as frustration or joy, can be recorded under the feelings
heading. Additionally, you should record when you actually take your medication under the meds heading.
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Parent category: Miscellaneous