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Daily Mood Tracker - Cairn Center

Daily mood Chart Name:_____. Adapted from Sachs, G (1996): J. Clin. Psychopharm. 16:2(suppl 1) p47S Month/ year: _____. Exercise /Medication Date Energy/ mood Sleep Irritability Events/Notes/Observations (enter amounts, note dose changes). Exercise Ho med 1 med 2 med 3 (can use two check marks: Questions to ask your doctor, type w long Anxi worst and best for each day) check one, or connections you suspect;. ety 0-3 scale Walk hours side effects; problems taking medications;. 1-10. Swim any episodes of hallucinations/paranoia scale (circle for Run Low Agitation/. nl Bike energy/ mood anxiety/ up . increased sleep menses). Etc. or significant events that might affect mood .

Daily Mood Chart Name:_____ Adapted from Sachs, G (1996): J. Clin. Psychopharm. 16:2(suppl 1) p47S Month/ year: _____

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