Daily activity journal for living with MS
by LVK0774 · 184 things on Twos
- Assign a number value from 1 to 10 (1 being very low and 10 being very high) for:
• Your level of fatigue (F).
• The value or importance of the activity you are doing (V).
• The satisfaction you feel with your performance of the activity (S).
You can compute the “value” of an activity by comparing it to other activities you would like to do during the course of the day.
Always describe the physical work done in the Activity section (eg, stood to shower 10 minutes, went up 20 stairs, walked 200 feet, etc.).
Note the external temperature of the environment under Activity.
List under Comments all MS symptoms as they appear or worsen during the day, including cognitive problems, visual problems, weakness, dizziness, dragging foot, pain, numbness, burning, and so forth.
Living Well with MS: MS Society of Canada, pp. 42-43
Make notes every hour.
- Describe last night’s sleep:
- ,
- Time
- 00:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 01:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 02:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 03:00
- F
- V
- S
- Activity
- .
- Comment
- .
- 04:00
- F
- V
- S
- Activity
- .
- Comment
- .
- 05:00
- F
- V
- S
- Activity
- Comment
- 06:00
- F
- V
- S
- Activity
- Comment
- 07:00
- F
- V
- S
- Activity
- Comment
- 08:00
- F
- V
- S
- Activity
- Comment
- 09:00
- F
- V
- S
- Activity
- Comment
- 10:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 11:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 12:00
- F
- V
- S
- Activity
- Comment
- 13:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 14:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 15:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 16:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 17:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 18:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 19:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 20:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 21:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 22:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .
- 23:00
- F -
- V -
- S -
- Activity
- .
- Comment
- .