Symptom tracker printable
A free symptom tracker printable: a one page log with columns for date, time, what you noticed, how strong it was and what you were doing. It is a blank record you can show your doctor or pharmacist.
Updated 21 October 2026. Sources named on the page.
- Fourteen rows with six columns
- A one to five scale for how strong
- A4 and US Letter, black and white friendly
- A blank record, not medical advice
What is on the sheet
- Fourteen rows for dated entries
- Columns for time, what you noticed, how strong, what you were doing and notes
- A reminder that it is a record, not advice
- A4 and US Letter
The picture shows the A4 symptom tracker printable. The US Letter version has the same layout.
How to use it
Write an entry when you notice something, not at the end of the week, because details fade quickly. Put the date and time, what you noticed in your own words, how strong it was from one to five, and what you were doing when it started.
What to bring to an appointment
A dated list is easier to talk through than memory. Bring the sheet with you, and mention anything that seems to repeat, such as the time of day or what you had eaten. Your doctor or pharmacist decides what it means.
What this sheet is not
It is a blank page for your own notes. It cannot tell you what is wrong, and it does not replace advice. If you feel very unwell, or something worries you, get medical help rather than waiting to fill in the log.
Describe, do not diagnose
Write what you actually noticed, in plain words: a headache behind the eyes, a tight chest after the stairs, a bad night. Leave out guesses about the cause. The detail you give is what lets a professional work out the cause, and a guess can point the wrong way.
Look for the pattern, not the day
After a couple of weeks, read down the page. Do entries cluster at a time of day, after certain food, or on days you slept badly? You do not need to explain it. Circle what repeats and show it to your doctor or pharmacist.
Paper or app
Paper is simple and easy to hand over. If you would like to keep notes alongside sleep, food and mood in one private place, the Daily Journal does that, and the first three habits are free.
Questions
What should I write in the strength column?
A number from one to five in your own terms, where one is barely noticeable and five is very strong. Keep your own scale the same each time.
How often should I fill it in?
Whenever you notice something. A few well-timed entries are more useful than a long list filled in later.
Can this sheet diagnose anything?
No. It is a blank record for your own notes and does not give medical advice.
Can I keep one for a child or someone I care for?
Yes, as a record of what you observe, written in plain words. Show it to their doctor, and let the doctor decide what it means.
Does it come in A4 and US Letter?
Yes. Both sizes have the same layout.
Keep going
Tools that go with this page
Each one shows an example screen, what the paid apps charge and what the Daily Journal does today.
Journal appKeep going after the symptom tracker printable
Sign up free for the Daily Journal app: habits, food, mood and sleep in one private place. Free to start.