Free printable resource

A pain diary template you can print in one click.

Three ready-to-print sheets for endometriosis, pelvic pain, and other chronic pain: a detailed daily log, a weekly overview, and an appointment summary. No sign-up, no email address, no download form.

See the template

A4 and US Letter · 3 sheets · Prints in black and white

What you get

Three sheets, each for a different job.

Print only what you need. Most people use the weekly overview every day and keep a few daily logs in reserve for flare-ups.

Daily pain log

One page per day. Pain score by time of day, a body map, pain type, medication, and space for what the day cost you. Use it on difficult days or when a clinician asks for detail.

Weekly overview

Seven days across one page. Fast enough to fill in before bed, and the fastest way to see whether bad days cluster around the same point in your cycle.

Appointment summary

The page you actually hand over. Your main concern, the pattern you noticed, what you have tried, and the questions you do not want to forget in the room.

The template

Print it straight from this page.

Everything below prints on three clean pages. The rest of this website is removed automatically from the printout.

How to fill it in without giving up in week two

Most pain diaries fail for the same reason: they ask for too much. A template that takes ten minutes gets abandoned by the second week, and a diary with three entries is not much use to anyone. Aim for something you can finish in under a minute.

Log at fixed moments rather than when the pain is worst. If you only write things down during a flare-up, the record will suggest every day is severe, because the calm days never made it onto the page. Fixed times give you a fair baseline to compare against.

  • Pick two or three set moments, for example after breakfast and before bed.
  • Score the pain as it is at that moment, not the worst it reached earlier.
  • Write what you could not do. That detail carries more weight in a consultation than an adjective.
  • Keep the same meaning for each score every week, using the scale on the weekly sheet.
  • Leave gaps rather than guessing. An honest blank is better than an invented number.

What clinicians tend to ask about

The template is built around the details that usually come up in an appointment. Knowing why each field is there makes it easier to fill in something useful.

  • Intensity over time. A single number matters less than whether it is rising, falling, or spiking on particular days.
  • Location. Pelvis, lower back, abdomen, legs, and head can point in different directions, and the pattern can shift over a cycle.
  • Character. Cramping, stabbing, pressing, and burning describe different experiences, even at the same score.
  • Cycle timing. Pain tied to a point in the cycle reads very differently from pain with no cyclical pattern.
  • Functional impact. Missed work, cancelled plans, and interrupted sleep are concrete and hard to dismiss.
  • Medication response. Record what you took and what you observed, without concluding that a medication caused the change.

For a longer walk through each of these, the endometriosis pain tracking guide covers scoring and location in more depth, and the pelvic pain guide explains what matters when pain is new or its cause is still unclear.

Paper or an app

Paper wins on friction. It is instant, needs no battery, no account, and no explanation, and nothing you write leaves the room. That is a real advantage for something this personal, and it is why the template above exists at all.

Where paper gets tiring is the counting. Working out how many days you scored above a 6, or whether the bad days line up with a point in your cycle, means going through the sheets by hand every time. Over two or three cycles that adds up, and it is the step most people skip.

Choosing a diary format goes through the trade-offs between paper, a notes app, a spreadsheet, and a structured diary in more detail. A common route is to start on paper for a couple of weeks, see which fields you actually use, and move across once daily logging has become automatic.

Sources and editorial note

This page provides a personal tracking template and general information. It does not provide medical advice, and it does not diagnose, treat, cure, or prevent any condition. Health guidance was checked against the sources below on July 28, 2026.

When the counting gets old

The same diary, without the arithmetic.

EndoTracker records the fields on these sheets and works out the totals for you. The template stays free either way.

Printed template

  • Free and instant
  • Nothing leaves the paper
  • No battery or account
  • You count the totals yourself
  • Patterns take manual review
  • Easy to lose or leave at home

EndoTracker for iPhone

  • Same fields, under a minute a day
  • Health entries stay on your device
  • Totals and averages calculated for you
  • Color-coded calendar across cycles
  • PDF report for appointments with Pro
  • Free to download, no account required
Download EndoTracker

Common questions

Questions about the pain diary template.

Is this pain diary template really free?

Yes. The template is on this page, it prints from your browser, and there is no sign-up, no email address, and no download form. You can print it as often as you like and share the link with anyone who needs it.

How do I save the template as a PDF?

Choose Print in your browser, then select Save as PDF as the destination instead of a printer. On iPhone and iPad, use the share button and choose Print, then pinch outward on the preview to open it as a PDF.

Which paper size does it print on?

The template is built to fit both A4 and US Letter without cropping. Each of the three sheets prints on its own page, so you can print only the sheets you need.

How long should I track before an appointment?

Two to three cycles usually shows more than a single difficult week, because it lets you see whether symptoms follow a pattern. If your appointment is sooner, bring whatever you have. A short record is still more specific than recalling from memory.

Should I use paper or an app?

Paper is immediate, private, and needs no battery, which makes it a good way to start. An app removes the manual counting and can summarize weeks or cycles for you. Many people begin on paper and move to an app once daily logging becomes a habit.

Can a pain diary diagnose endometriosis?

No. A pain diary records your own observations. It cannot diagnose, treat, cure, or prevent endometriosis, adenomyosis, or any other condition, and it does not replace an assessment by a qualified healthcare professional.

Use the sheets, or let the app do the counting.

Print the template as often as you like. When the manual totals start to wear thin, EndoTracker records the same details on your iPhone and summarizes the period for you.

Download EndoTracker