What is on the sheet
Each row is one day. The columns are details NIAMS and the National Institute on Aging say a doctor may ask about, and the guide explains where each one comes from.
- Pain: where. The areas that hurt today, in your own words.
- Pain /10. A number from 0 to 10, or the same few words each time.
- Fatigue /10. How tired you were, on the same scale each time.
- Sleep. Roughly how long you slept, and how the night went.
- Thinking /10. Trouble concentrating, thinking clearly, or remembering.
- What I did / missed. What you did, and anything you could not do that day.
- Notes and questions. Anything else, and what you want to ask at the next visit.
When a symptom started, how long it lasted and how often it happens have no column of their own. At this width the box would be too small to write a sentence in, so they go in the notes column, where there is room.
How to use it
- Print it. One sheet covers 7 days, so one page a week, and it fits US Letter and A4 without changing anything.
- Write the date in the first column. A line with no date cannot be placed on a timeline or compared with another day.
- Fill in what you can. Use the same scale every day, so two days can be compared.
- Leave the rest blank. A blank means not recorded; writing 0 for “I don’t know” turns a gap into a reading.
- Take it with you. The National Institute on Aging suggests making some notes about your symptoms before you call or visit the doctor.
This webpage collects nothing you write
The sheet is a table of empty boxes. There is no field to type in, nothing is saved, and no request is sent. This webpage cannot receive, save, or send what you write by hand.
What the sheet cannot do
- It cannot diagnose anything. The sheet records what you report. Diagnosis is clinical assessment, and NIAMS describes how fibromyalgia is diagnosed.
- It cannot explain a symptom or prove a cause. Two things written on the same row happened on the same day, and that is all a row says.
- It cannot replace medical care. It is something to bring to your own doctor. It is not a substitute for clinical assessment or for care.
Sources
The column headings, and the details this page says a doctor may ask about, are narrow paraphrases of three public pages from the United States National Institutes of Health, all read on 17 September 2026 and listed in full, with links, in the symptom diary guide: the NIAMS fibromyalgia overview, the NIAMS page on diagnosis and steps to take, and the National Institute on Aging’s page on what to tell the doctor. The rest of this page describes the sheet itself: its layout, how to fill it in, and what it cannot do. Those are ours, and no source is claimed for them.
This sheet is designed and published by Off Script Foundry, Inc., the company that publishes Tend. No clinician has checked it, and the byline at the top of this page says so. The editorial policy sets the rules it is written to, and the address at the foot of this page reaches the person responsible for correcting it.
Sources last checked: 17 September 2026. No later check is scheduled.