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Migraine Headache Diary

Print this migraine headache diary and use it to keep track of your headaches or migraines.

Date    
Time Headache Began    
Time headache Ended    
Warning Signs (aura)    
Location of Pain    
Type of Pain (pressing, throbbing, piercing, etc.)    
Intensity of Pain* (circle one number to the right)1 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 101 2 3 4 5 6 7 8 9 10
Other Symptoms (nausea, vomiting)    
Medication Taken/ Other Treatment    
Effect of Treatment    
How Headache Affected My Normal Routine    
Hours of Sleep the Night Before the Headache    
What I Ate Before the Headache (caffeine, diet soda, chocolate, hot dogs, food with artificial sweeteners, processed foods)    
Activities Before Headache Occurred    
Important or Stressful Events That Occurred Today    
Comments    

 

 

 

WebMD Medical Reference

Reviewed by Neil Lava, MD on June 01, 2012
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