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Headache Diary Headache Diary

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Headache Diary

Date Time Weather Duration Intensity1 Location2 Treatment Effective Triggers Notes3









Instructions: Please complete an entry for each headache.

1. Intensity on a scale of 0 – 10 with 10 being the worst pain you have ever felt in your life.

2. Location of the pain

3. Note anything special or different about this headache and/or any other relevant information.



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