Migraine Headache Diary
Print this migraine headache diary and use it to keep track of your headaches or migraines.
| Date |
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| Time Headache Began |
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| Time headache Ended |
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| Warning Signs (aura) |
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| Location of Pain |
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| Type of Pain (pressing, throbbing, piercing, etc.) |
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| Intensity of Pain* (circle one number to the right) |
1 2 3 4 5 6 7 8 9 10 |
1 2 3 4 5 6 7 8 9 10 |
1 2 3 4 5 6 7 8 9 10 |
1 2 3 4 5 6 7 8 9 10 |
| Other Symptoms (nausea, vomiting) |
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| Medication Taken/ Other Treatment |
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| Effect of Treatment |
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| How Headache Affected My Normal Routine |
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| Hours of Sleep the Night Before the Headache |
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| What I Ate Before the Headache (caffeine, diet soda, chocolate, hot dogs, food with artificial sweeteners, processed foods) |
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| Activities Before Headache Occurred |
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| Important or Stressful Events That Occurred Today |
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| Comments |
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