Free episode worksheet · No signup

One migraine episode, recorded in its own time.

Capture a small fact in the moment, then return later for the details before, during and after the headache phase.

What makes this different from the monthly template?

The monthly headache diary shows frequency at a glance. This worksheet gives one episode room for timing, symptoms, medication, impact and notes from before, during and after.

Printable migraine diary template

Fill only what you know. A blank field means “not recorded,” not that a symptom or event did not happen.

Migraine episode record

Personal notes for memory and healthcare conversations—not a diagnostic form.

MigraLoom
Date
Approximate start / end
Worst severity (0–10)
BeforeEarly changes or context I noticed. What was recorded at the time?
Headache phasePain location or description, nausea, sensitivity or other symptoms.
Relief attemptsMedication or other action, time, dose if known, and effect noticed.
AfterRecovery, lingering symptoms and when usual activity felt possible again.
Impact on work, school, sleep or usual activity
What I may want to discuss at an appointment
Additional notes — including what I am recalling later rather than what I recorded at the time

Why the template separates phases

Migraine can involve more than headache pain. The American Migraine Foundation describes prodrome, aura, headache and postdrome phases, while noting that not everyone experiences every phase. The NHS also lists early symptoms and aura among possible parts of an attack.

The headings above are prompts, not labels you must apply. Record what you experienced in your own words; leave clinical interpretation to a qualified professional.

A low-burden way to use it

  1. Write the date and approximate start when you can.
  2. During active symptoms, record only the smallest useful fact.
  3. Return later for duration, impact and relief notes.
  4. Distinguish what you recorded at the time from what you remember later.
  5. Bring the sheet to a healthcare conversation if it helps you explain your history.
MigraLoom app icon

Prefer an iPhone record?

Start small. Complete it later.

MigraLoom follows the same idea: a fast first entry, optional detail later, recorded-history summaries and a visit report you choose to export.

View MigraLoom ↗

Sources

Medical notice: This worksheet is for personal recording only. It is not medical advice, diagnosis, treatment or emergency care.

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