Daily Schizophrenia Symptom Tracking Chart

Patient Information

Name: ___________________ Date Range: //___ to //___

Instructions

Rate each symptom on a scale of 0-5 (0 = Not present, 5 = Severe)

Daily Symptom Tracker

Positive Symptoms

• Hallucinations: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5
• Delusions: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5
• Disorganized speech: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5

Negative Symptoms

• Social withdrawal: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5
• Reduced motivation: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5
• Emotional flatness: □ 0 □ 1 □ 2 □ 3 □ 4 □ 5

Medication Adherence

• Did you take all prescribed medications today? □ Yes □ No
• If no, please explain: ________________________

Daily Activities

• Hours of sleep: ___
• Appetite (Poor/Fair/Good): ___
• Exercise (minutes): ___
• Social interactions (number): ___

Notes

Stressors or triggers today: ________________________ Coping strategies used: ________________________

Weekly Summary

Overall mood (1-10): ___ Most challenging symptom: ________________________ Most effective coping strategy: ________________________

Share this chart with your healthcare provider during appointments