Monitor Your Symptoms, Triggers, and Treatment Response
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Name: _________________ Date Started: _________________
□ Scalp □ Face □ Arms □ Hands □ Trunk □ Legs □ Feet □ Nails □ Joints
Morning Medications: □ Taken □ Missed Evening Medications: □ Taken □ Missed Topical Treatments Applied: □ Yes □ No
□ Stress □ Weather Changes □ Skin Injury □ Certain Foods □ Alcohol □ Missed Medications □ Other: ________________
Sleep Quality: □ Poor □ Fair □ Good Stress Level: □ Low □ Medium □ High Physical Activity: □ None □ Moderate □ High
Overall Improvement: □ Better □ Same □ Worse Side Effects: ________________ Notes for Doctor: ________________
Bring this tracking sheet to your next appointment
Be the first to create a video version of this content featuring your own AI avatar - just submit a quick 2-minute recording.