Free Printable Sickle Cell Pain Diary

How to use the pain diary

1. Print a week at a time and keep it somewhere you'll see it.
2. Fill in one row each evening, even on pain-free days — a 0 is useful information too.
3. Use the 0–10 scale the same way every time. Anchor a few numbers to memories, such as "my 8 was the crisis that put me in hospital".
4. At the end of the week, fill in the summary page and note any patterns.
5. Take a few weeks of diaries to your next appointment. Read how to track sickle cell pain for more tips.

The 0–10 pain scale

The diary uses a standard 0–10 number scale, the same kind most clinicians use. Here's a guide to keep your scores consistent:

• 0 — No pain
• 1 — Barely noticeable
• 2 — Mild, easy to ignore
• 3 — Mild, noticeable
• 4 — Moderate, distracting
• 5 — Moderate, hard to ignore
• 6 — Hard to concentrate
• 7 — Severe, limits daily life
• 8 — Severe, hard to function
• 9 — Very severe
• 10 — Worst imaginable