Migraine Headache Diary
Print this migraine headache diary and use it to keep track of your
headaches or migraines.
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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)
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1 2 3 4 5 6 7 8 9 10
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1 2 3 4 5 6 7 8 9 10
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1 2 3 4 5 6 7 8 9 10
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1 2 3 4 5 6 7 8 9 10
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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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