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Tension Headache Diary

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    Print this diary and use it to keep track of tension headaches.

    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 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)

     

     

     

     

    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 David T. Derrer, MD on February 27, 2014
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