DAILY LOG · 3 minutes a day · 14 days

Two weeks of notes your next doctor can use

Turn daily check-ins into a clear symptom summary to bring to any appointment.

Four small check-ins, at your own pace. Keep your usual routine. Missing an entry is okay: blanks stay blank. Record actual days only.

YOUR 14-DAY LOG

Day 1

Date of this entry

Sleep hoursWake-up energy (0–10)Midday energy (0–10)Afternoon energy (0–10)Evening energy (0–10)Highest bloating (0–3)Afternoon brain fog (0–3)Caffeine cupsFelt rested on waking?Afternoon crash?Bloating startedLast caffeine time

Meals, movement, stress, cycle or what symptoms cost you today (optional)

0 OF 14 DAYS WITH NOTES

Your one-page summary

Keep going. You need at least 7 days for a useful summary.

My main concern, in one sentence (optional)

Educational only. These tools do not diagnose a condition. Do not change prescribed medication based on your results. Sudden or severe symptoms, including chest pain, fainting or blood in your stool, need prompt medical attention; call 911 for an emergency.