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PMS: Tracking Your Symptoms

Track your PMS symptoms to better understand when they may occur. Rank each symptom’s severity from “worst” to “none.” Track any other symptoms in the blank rows. At the top of the chart, circle the days of your period. This will help identify the weeks of your cycle.

Sample tracking chart for PMS symptoms showing days of month, physical symptoms, emotional symptoms, and other symptoms. Symptoms rated worst, moderate, slight, none.

Author: StayWell Custom Communications
Last Annual Review Date: 5/1/2008
Copyright © The StayWell Company, LLC. except where otherwise noted.
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