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Easy to Read Symptom Tracker for Seniors and Caregivers, Doctor Visit Log PDF

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$5.99
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It is hard to remember how you felt last Tuesday once you are sitting in the doctor's office, and small symptom trackers with tiny boxes are hard to read and harder to write in. This easy to read symptom tracker is made for seniors keeping track of their own symptoms and for the caregivers who go to appointments with them. Every word is 14 pt or larger, the labels are 16 pt, and the writing boxes are at least half an inch tall, so it is easy to read and easy to write in.


Write down how you feel each day, in your own words. Lay two weeks side by side. Then walk into the visit with your notes ready, so when the doctor asks "How have you been?" you have your own answer in front of you. Every page has a calm cream and gold design, with dark ink and clean lines.


WHAT YOU GET (14 pages, US Letter and A4 PDFs)

• Cover page with a short note on how to use the tracker

• How to use these pages (1 page)

• My details and the 0 to 10 scale: doctor, clinic phone, the person who helps you, and what the numbers feel like for you

• My symptoms list: each symptom once, when it started, how often, where on the body, and what makes it better or worse

• 2 daily symptom log pages: date, sleep, how you feel overall, then time, symptom, how bad, what was happening and what helped

• 2 two week pattern pages: each day's worst number for each symptom, Day 1 to Day 14

• 2 bring to the visit pages: main reason for the visit, top 3 questions, symptom summary and medicine changes since the last visit

• After the visit: what you were told, tests or referrals, changes to your care plan, questions you still have, next appointment

• Medicine and routine changes log

• Extra notes page

• A page of other DailyWellJournals printables


GOOD TO KNOW

• Text is 14 pt or larger on every page, including headers and footers. Labels are 16 pt.

• Writing boxes and lines are at least 0.5 in tall, with fewer rows per page so nothing feels cramped.

• Print a daily page for each day you want to track. Print as many as you like.

• This is your own record of how you felt, in your own words. It is not a medical chart.

• If a symptom is new, sudden or frightening, call your care team or your local emergency number. Don't wait to write it down.

• For personal record keeping only. Not medical advice. Always follow your doctor's or care team's instructions.

• The PDFs are made for printing. They are not editable or fillable.


HOW TO DOWNLOAD AND PRINT

1. After you buy, your download links appear right away, and Payhip also emails them to you.

2. Click the download links on the confirmation page or in the email. A computer is easiest.

3. Open the PDF for your paper: US Letter (8.5 x 11 in) for the US and Canada, A4 (210 x 297 mm) almost everywhere else.

4. Print at 100% or Actual size, not Fit to page. A home printer or a local print shop both work.


This is a digital download. Nothing will be shipped.


For personal use only. Please don't resell or share the files.


Questions or a download problem? Send us a message and we'll gladly help.

You will get the following files:
  • PDF (70KB)
  • PDF (71KB)