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Wellness Tracker

Please print this calendar for your convenience when tracking wellness. This is a tool to assist you in taking note of your symptoms and overall well being. It is important to note the time of day as this is useful for diagnostic purposes.

Tracking may include:

  • Numerical rating for pain (0-10 with 0 representing no pain and 10 representing the worst pain)

  • Bowel movement quality and quantity

  • Urination quantity and frequency

  • Appetite and specific food cravings

  • Gas/bloating/reflux/nausea and any other indigestion

  • Shortness of breath and other respiratory symptoms

  • Energy levels throughout the day

  • Mood

  • Menstrual cycles

  • Headaches and sinus issues

  • Exercise

  • Cognition

  • Sleep

  • Any other symptoms which stand out to you and/or affect your quality of life

  • Positive experiences!


As you track, you may begin to notice trends. Bring your tracker to treatment and we will work together to incorporate this into diagnosis and treatment.

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