Free worksheet · PDF
Allergy symptom diary
Track symptoms, pollen and medicine for three weeks. Bring it to your doctor or allergist.
What is on this worksheet
Rate each symptom 0 (none) to 3 (bad). Note the pollen count from your local forecast.
| Date | Pollen (low / med / high) | Nose | Eyes | Sneezing | Medicine and time | Notes (outdoors, pets, weather) |
|---|---|---|---|---|---|---|
