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Lymphoma Treatment and Symptom Tracking Journal

Daily Monitoring Guide for Lymphoma Patients

Oncology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: _______________ Date of Diagnosis: _______________ Type of Lymphoma: _______________ Treating Physician: _______________

Daily Symptom Tracker

Date: _______________

Energy Level (circle one)

0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 (0 = No energy, 10 = Full energy)

Temperature

Morning: ______°F/C Evening: ______°F/C

Symptoms (check all that apply)

  • Fatigue
  • Night sweats
  • Unexplained weight changes
  • Swollen lymph nodes
  • Shortness of breath
  • Pain (location: ____________)
  • Loss of appetite
  • Nausea/vomiting

Medication Log

Medication Dose Time Taken Side Effects

Activity Level Today

Minutes of activity: _______ Type of activity: _______________

Notes for Doctor

Weekly Summary

  • Weight: ________
  • Overall energy level trend: ________
  • New symptoms: ________
  • Questions for next appointment: ________

Emergency Contact Information

Oncologist: _______________ Phone: _______________ Emergency Department: _______________

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