Daily Schizophrenia Symptom Tracking Sheet

Patient Information

Name: ___________________ Date: ___________________

Daily Symptom Rating Scale

Rate each symptom from 0-5 (0 = Not present, 5 = Severe)

Positive Symptoms

• Hallucinations: ___ (hearing voices, seeing things)
• Delusions: ___ (false beliefs)
• Disorganized speech: ___
• Unusual behavior: ___

Negative Symptoms

• Reduced emotional expression: ___
• Decreased motivation: ___
• Social withdrawal: ___
• Difficulty with daily tasks: ___

Medication Adherence

• Did you take all prescribed medications today? □ Yes □ No
• Any side effects? □ Yes □ No If yes, describe: _________________

Daily Activities

• Hours of sleep last night: ___
• Appetite level (Poor/Fair/Good): ___
• Exercise/physical activity (minutes): ___
• Social interactions (number): ___

Stress Levels

• Overall stress today (0-5): ___
• Triggers encountered: _________________
• Coping strategies used: _________________

Notes

Any other observations or concerns:

Emergency Contacts

Therapist: _________________ Psychiatrist: _________________ Emergency contact: _________________

Bring this tracking sheet to your next appointment.