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Say how it went
Eight optional steps. A partial check-in still counts.

Tend is a private journal for pain, fatigue, brain fog, sleep, waking refreshed, mood, pain locations, and notes. It looks for patterns across weeks of your own record, then gathers them with your medications, labs, and questions into one page for your next appointment.
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Eight optional steps. A partial check-in still counts.
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Tend stays silent until your record supports a pattern.
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Your recent record, gathered before you go.
An illustration of a Patterns card, not your data.
Tend records pain, fatigue, fog, sleep, mood, waking refreshed, pain locations, flares, morning, afternoon, evening, medications, supplements, labs, visits, questions, the night before, practices, movement, pressure, weather, pacing.
A body map, front and back
Two scales, both optional
Two questions, both optional
One scale and an optional note
The whole paper trail
All of it in
one private record
Read it, print it, save a PDF, or hand it over at the desk.
Every line written for a bad day.

“Check-in saved.”
“Your flare plan and support options are below.”

“Symptoms stayed about the same today.”
“Gently now. Nothing to catch up on.”

“Symptoms peaked in the afternoon and eased.”
“Use your plan, reduce demands, or contact someone you trust.”

“You recorded stronger symptoms.”
“How are you feeling today?”
These are lines the app itself says, not customer quotes or reviews.
TodayDaily symptoms and check-in
PatternsChanges across your weeks
CareThe letter for your visitCaptured from the app running its sample record, which is why each screen says so.
Big targets. Few choices. One tap for everything. Nothing that punishes you for a week you could not fill in.
Fog Mode collapses the whole app to one thing per screen
Every field is optional, and a blank never becomes a zero
The right-hand column is a category, not a product: what a single daily 0 to 10 rating can hold, next to what a record can.
Your own record should not be rented back to you.
iPhone and iPad · private
Freeon the App Store
No ads or in-app purchases today. Core tracking and doctor summaries stay free.
Download on the App StoreNo streaks, no rings, no red for a hard day.
A blank answer stays missing. It never becomes a zero.
A finding waits for enough answered days, then says how many.
Tend is a private iPhone and iPad app for people living with fibromyalgia. It combines an optional daily check-in, records for medications, labs, visits and questions, conservative summaries of your own record over time, and a printable letter to bring to a doctor's appointment.
Tend requires Apple or Google sign-in and syncs your record to your Tend account. Beginning with Tend 1.0.1 build 8, a version-specific allowlist of product actions is linked to the account UUID in PostHog, but answers, notes, health details, email, name, location and free text are excluded. There is no advertising or cross-app tracking. The public website separately counts limited, anonymous, cookieless pageviews. Optional weather sends a rounded approximate location and IP directly to MET Norway and Open-Meteo, never health data. You can export or delete your record from Settings at any time.
You can record pain, fatigue, brain fog, sleep, whether you woke refreshed, mood, pain locations, and an optional note. Every field is optional, so a partial check-in still counts. On a foggy day, you can speak the note instead of typing it.
No. Tend is a self-tracking tool. It records what you enter and shows you conservative summaries of your own record. It does not diagnose or treat anything, it is not a medical device, and it is not a substitute for care from your own doctor.
Every summary is computed on your iPhone from your own record: your check-ins and flares, plus Health, weather and Apple Watch data only if you connect them. Skipped answers stay missing rather than counting as zero, and every finding states what it rests on: paired days, recorded flares, or baseline nights. A card stays silent until it has enough. Tend describes association and timing, never cause, and a pattern in your own days is not a diagnosis. The methods page at /methods/how-tend-finds-patterns explains the rules it covers.
Tend is currently offered at no cost and contains no in-app purchase.