Overview
Mood Score Key:
Sliding Hypomania = 1 ~ Hypomania = 2 ~ Mania = 3 ~ Baseline (My Normal) = 0
Sliding Depression = -1 ~ Depression = -2 ~ Severe Depression = -3 ~ M = Mixed State
Energy Score Key:
Low = -1 ~ Normal = 0 ~ High = 1
Irritation Score Key:
None = 0 ~ Mild = 1 ~ Moderate = 2 ~ Severe = 3
Anxiety Score Key:
None = 0 ~ Mild = 1 ~ Moderate = 2 ~ Severe = 3
Migraine Score Key:
None = 0 ~ Mild = 1 ~ Moderate = 2 ~ Severe = 3 ~ Extreme = 4 ~ Aura Present = A ~ Normal Headache Pain or Pressure = h
Joint Pain Score Key:
None = 0 ~ Mild = 1 ~ Moderate = 2 ~ Severe = 3 ~ Extreme = 4 ~ Tingling = T
Sleep Quality Score Key:
Bad = -1 ~ Normal = 0 ~ Great = 1
Special Notes for the Week
Menses Start Date: ~
Weigh-In at Med Clinic: ~
Sunday ~ October 02, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Monday ~ October 03, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Tuesday ~ October 04, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Wednesday ~ October 05, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Thursday ~ October 06, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Friday ~ October 07, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes
Saturday ~ October 08, 2022
Mood: 0 ~ Energy: 0 ~ Irritation: 0 ~ Anxiety: 0 ~ Migraine: 0 ~ Joint Pain: 0
Hours of Sleep:
Sleep Quality: 0
Exercise Activity & Time
Meds Taken
Meals
Today’s Feelings
Notes