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My Symptoms & Conditions Tracker

Date of Activity Being Tracked

The date defaults to current date, but you can select a time within the previous 365 days for your tracker entry, if needed.

MM slash DD slash YYYY

Time

Hours

:

Minutes

AM/PM

If tracking an item on a different date then today, change above before proceeding

Coach's Tips on how to use these Trackers

You will have several options to track your symptoms and associated variables here in this tracker. Answer what you want, then be sure to scroll down to bottom to submit to earn 1 LIVE It! Coins

Symptoms and Conditions Tracker

What do you want to track?

Vital Signs

Pain

Mood

Breathing Symptoms

Choose all that apply, then scroll down to complete the selected sections

My Vital Signs Tracker

What Vital Sign are you tracking today?

Select all that apply, then scroll down to complete form

Blood Pressure

Pulse Ox

Heart rate

Choose all that apply, then scroll down to complete the form

What is your Blood Pressure: Diastolic mm Hg (Lower Number)

What is your Blood Pressure: Systolic mm Hg (Upper Number)

IMPORTANT NOTICE – HYPERTENSIVE STAGE

You are receiving this message because your systolic blood pressure reading over 180 is considered Hypertensive. Please seek medical attention as soon as possible.

IMPORTANT NOTICE – HYPERTENSIVE STAGE

You are receiving this message because your diastolic blood pressure reading over 90 is considered Hypertensive. Please seek medical attention as soon as possible.

What is your pulse Oximeter Reading?

What is your resting pulse/heartbeat per minute?

Count your pulse for 15 seconds and multiply by 4

My Pain Tracker

What type of Pain Crisis did you have?

Tired

Cramping

Pain

Headache

Leg Swelling

Bruising

Sharp Pain

Dull Pain

Other

What other pain are you feeling?

What part of the body is the pain?

Full Body Ache

Head

Eyes

Shoulders

Arms/Hands

Upper Back

Lower Back

Chest

Stomach

Pelvic Region

Legs

Feet

What were you doing when this pain occurred?

Working at the computer

Exercising

Relaxing

Dealing with Stress

Dehydrated

Sleep Deprivation

Drank Alcohol

Smoked or Vaped

Sudden Change of Temperature

Other

What other activity triggered this pain?

How would you rate this pain today? (Pre-Treatment)

1 -ittle to no pain

2

3 – Slight Pain

4

5 – moderate pain

6

7

8 – severe pain

9

10 – sxtreme Pain

Do you want to associate this symptom with any other variables?

Other variables include weather, treatments, hydration levels, sleep quality & mood

Yes

No

I’m not sure

It's ok to not be sure.

Review these options below that may or may not be associated with your symptom. The more conditions you track, the more insights you will receive in your charts.

What else do you want to track with this symptom?

Weather

Treatments

Hydration Level

Sleep Quality

Mood

Choose all that apply, then scroll down to complete the form

How was your mood at time of pain trigger?

Happy

Neutral – Just Ok

Sad

Worried

Mad

My Sleep Tracker

How would you score your Sleep Quality during this instance?

Great

Neutral – Just Ok

Not so good

If you are finished, scroll down to submit

My Weather Tracker

Weather Tracker: How was the weather when your symptom(s) started?

Hot (91°F or more)

Mild (61°F – 90°F)

Cold (60°F or below )

If you are finished, scroll down to submit

My Hydration Tracker

How was your hydration at time of symptom onset?

Fully Hydrated

Sort of Hydrated

Poorly Hydrated

Overly Hydrated

If you are finished, scroll down to submit

My Treatment Tracker

What pain treatment did you use?

Prescription Medicine

Nonprescriptive Medicine

Exercise

Psychological Counseling

Physical Therapy

Prayer or Meditation

Herbal Remedies

Massage

Relaxation Technique

Hot Packs

Cold Packs

Rest

Sauna

Other

What other treatment did you do?

What other treatment did you do?

Tylenol (acetaminophen)

Aspirin (ASA)

Advil (NSAID)

Vitamin

Other

Rate your Symptom Pain 1 hour after treatment (1-Low, 10-High)

1 -ittle to no pain

2

3 – Slight Pain

4

5 – moderate pain

6

7

8 – severe pain

9

10 – sxtreme Pain

How is your Mood After Pain Treatment

Happy

Neutral – Just Ok

Sad

Worried

Mad

Any additional notes to add about this treatment?

If you are finished, scroll down to submit

My Mood Tracker

How did you feel when you woke up today?

Happy

Neutral – Just Ok

Sad

Worried

Mad

How did you feel midday?

Happy

Neutral – Just Ok

Sad

Worried

Mad

How did you feel at the end of the day?

Happy

Neutral – Just Ok

Sad

Worried

Mad

How would you score your overall day today?

Happy

Neutral – Just Ok

Sad

Worried

Mad

Do you have any additional thoughts to add about why you are feeling the way you are today?

Quick tip: Use your phone recorder to be able to use “talk to text” for easier note taking through dictation or by text.

If you are finished, scroll down to submit

My Breathing Symptoms Tracker

What kind of symptom are you experiencing

What aggravated this symptom?

What treatment did you do?

Other

What relieved it?

Coach's Tip: Before you hit submit…

Please know that it may take a few moments to update, so please be patient, and just submit once until you see your confirmation message and LIVE It! Points award. 🙂

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