Migraine work-impact log: record lost time clearly
Record how symptoms affected work, study or caring responsibilities. Concrete examples help explain the impact that an attack count alone may miss.
Your worksheet
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How to use this worksheet
- Choose the activity and date you want to document.
- Record missed time and reduced activity without counting the same time twice.
- Note what adjustment helped and what you want to discuss.
Keep missed time separate from time worked with difficulty. This is a personal record, not a validated disability assessment, employer certificate or proof of eligibility for benefits.
Sources and scope
The guidance below supports keeping a symptom history. The worksheet layout and examples are our own; they are not validated clinical questionnaires.
This is an organizational worksheet, not a diagnostic test or a treatment recommendation. Discuss new, changing or worrying symptoms with a clinician. Do not wait to complete a diary before seeking care.