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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 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 Neil Lava, MD on June 01, 2012
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