Personal Fatigue Diary

Author: OrthoBiotech Oncology
Last Modified: November 1, 2001

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Personal Fatigue Diary
A month-by-month record to track your fatigue level.

Use this easy-to-follow monthly guide to chart your own daily fatigue level. Here's how:

1. Select the month of the year and print out the blank form.

2. Post it in a convenient place, such as the refrigerator.

3. Mark your daily fatigue level by coloring in the circle that corresponds to how you are feeling each day (see key code at bottom of form).

4. At the end of each month, draw a line connecting the colored-in circles; you will begin to see how your fatigue level has changed over time.

5. Take the form to your next office visit and use it as a guide to discuss how you've been feeling.

You'll also find space to record these other important test results each week:

  • Hb level
  • RBC count
  • Weight
  • Blood pressure
These files are saved in Adobe's Portable Document Format (PDF). In order to view these online as well as print them out you will need to have the Adobe Acrobat Plug-In. Download Acrobat Reader.

Click on a month to download it in PDF format:

January      May      September      
February      June      October      
March      July      November      
April      August      December      

get acrobat

From the National Cancer Institute