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Daily Mood Chart - Black Dog Institute

This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document is not intended as asubstitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to be hosted electronically outside of the Black Dog Institute website. Mood ChartDay12345678910111213141516171819202 122232425262728293031 AMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPM AMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPM AMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPMAMPM AMPMBest1098765432 Worst1 Hours of sleepDaily mood scaleComments on medication, activities, other, etc. Comments section: You can also rate pain , anxiety, current or new behaviours or anything else which is relevant to document may be freely downloaded and distributed on condition no change is made to the content.

Use the daily chart, to give a global assessment of your mood on a day-to-day basis (Rate from 1 to 10, where 1 is the worst and 10 is the best) ... other substances (either chart or mark amount in numbers), pain levels, episodes of anxiety and new activities started. 5. You should also enter any changes in medication (prescribed or otherwise). ...

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