MEASUREMENT
DATE
MEASUREMENT
TIME
WRITE DOWN YOUR SYMPTOMS HERE
SAMPLE SYMPTOM LOG
You may wish to make photocopies of this log and use them to fill in any information. Always
record your symptoms in the right hand column every time you take a measurement. Be sure to
always include the date and time of your measurement so your doctor can effectively review your
data. If you are unsure of what constitutes a symptom, contact your physician for further information.
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