99°
.9
.8
.7
.6
.5
.4
.3
.2
.1
98°
.9
.8
.7
.6
.5
.4
.3
.2
.1
97°
.9
.8
.7
.6
.5
DATE
DAY OF CYCLE
TEMPERATURE READINGS (°F)OBSERVATIONS
& SITUATIONS
R
PREVIOUS CYCLES: LONGEST
SHORTEST
NAME: MONTH THIS CYCLE
Jane Smith
May
35
28
29
RECORD THESE
OBSERVATIONS &
SITUATIONS DAILY:
MUCUS:
dry liquid clear
moist slippery opaque
wet yellow sticky
thick scant tacky
lubricative abundant spotting
OTHER OBSERVATIONS:
cervix changes breast changes
abdominal pain mood changes
sick days
SITUATIONS THAT CAN ALTER
TEMPERATURE:
soar throat vomiting activity
cold, flu diarrhea traveling
fever anxiety toothache
sunburn medications alcohol
elec. blanket sleep disturbances
x = YOUR PERIOD
•
= DAILY TEMPERATURE READING
= INTERCOURSE
EXAMPLE OF COMPLETED BASAL
TEMPERATURE CHART (with temperature
readings connected to make a graph)
•
99°
.9
.8
.7
.6
.5
.4
.3
.2
.1
98°
.9
.8
.7
.6
.5
.4
.3
.2
.1
97°
.9
.8
.7
.6
.5
1 2 3 4 5 6 7 8 9
10
11 12 13 14 15 16 17 18 19 20
21
22 23 24 25 26 27 28 29 30 31
32
33 34 35 36 37 38 39 40 41 42
x x x x
x x x x
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7
Dry
Cold, Dry, Mucus
Cold, Tacky, Mucus
Wet, Mucus
Tacky, Mucus
Dry
Dry
Dry
•
•
• •
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