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Rosacea Treatment Progress Tracker

Daily Monitoring and Management Tool

Dermatology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: ___________________ Date Started: //___

Daily Symptom Tracker

Rate severity from 0 (none) to 4 (severe)

Week of: //___

Symptoms Mon Tue Wed Thu Fri Sat Sun
Redness
Burning/Stinging
Bumps/Pimples
Visible Blood Vessels

Trigger Tracking

Check if these occurred on days with flare-ups:

  • Sun exposure
  • Hot weather
  • Cold weather
  • Spicy foods
  • Hot drinks
  • Exercise
  • Stress
  • Alcohol
  • Skincare products
  • Other: ____________

Treatment Log

Medications Used

Name: _________________ Frequency: _________________ Name: _________________ Frequency: _________________

Skincare Products

Cleanser: ________________ Moisturizer: _____________ Sunscreen: ______________

Notes

Record any additional observations or concerns:

Next Appointment

Date: //___ Time: ________

Bring this tracker to your next appointment.

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