Free Headache Log Template

Headache Log

This log serves as a tool for recording and monitoring headache occurrences. It aims to assist healthcare providers in identifying patterns, and triggers and providing personalized treatment plans.

Prepared by: [YOUR NAME]
Date: [DATE]

Date

Location

Triggers

Symptoms

Medication Taken

June 2, 2050

Frontal

Stress, Lack of Sleep

Throbbing, Nausea

Ibuprofen

June 2, 2050

Temples

Bright lights, Caffeine

Dull ache

None

June 5, 2050

Entire head

Weather change

Mild pressure

Acetaminophen

Notes:

  • Ensure to note all possible triggers preceding a headache occurrence

  • Always rate the intensity of your headache for more precise information

  • Consistently fill your log with any headache occurrence for accurate tracking

Log Templates @ Template.net