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Migraines & Headaches Health Center

Select An Article

Tension Headache Diary

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Print this diary and use it to keep track of tension headaches.  It can help you and your doctor create a treatment plan.

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)

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

 

 

 

 

Important or stressful events that happened today

 

 

 

 

Comments

 

 

 

 

 

 

WebMD Medical Reference

Reviewed by David T. Derrer, MD on January 10, 2016
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