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ME Forms
This grid is completed once a day to record important daily statistics - hours slept overnight, hours slept and rested during the day, time spent doing High, Medium and Low activity etc. I provide some blank column headings on one template so you can decide what you would like to record eg use a column to record a specific activity that you are currently gradually increasing, for example using a computer. If you increase the activity weekly or monthly this is the place to record it. You can look back over the previous weeks/months to see what you were doing, and how many minutes or hours a day you were doing it for. It is a snapshot of each day to build up a picture of what works and what doesn't. On this form there are also columns for the Symptom Rating Score and to make a few notes. There are 2 examples and 2 blank templates of this form.
Blank - DAILY DIARY GRID
Example 2 - DAILY DIARY GRID - Suggested Column Headings
Example 1 - DAILY DIARY GRID