Printable template · Free
Simple Headache Log
The lightest way to keep a record: one line per headache. No daily grid to maintain — just write a line when it happens. Good for anyone who wants a low-effort log to bring to a first appointment.
Headache Log
Name: ______________________
One line per headache · Keep this page somewhere easy to reach and fill it in as you go.
Pain level (your own rating): 1–2 Mild 3 Moderate 4 Severe 5 Very severe
| # | Date | Time | Pain 1–5 | Duration | What I noticed (sleep, food, stress, weather, screen time…) |
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This template is for personal record-keeping only. It is not medical advice and does not replace consultation with a healthcare professional.
Log vs diary?
A log is one line per event; a diary covers every day, including headache-free ones. If you later want the fuller picture, the monthly headache diary template covers every day of the month.