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Ankylosing spondylitis symptom diary template

A diary that asks too much gets abandoned. This one asks for five numbers and a tick each morning, with a single line for anything unusual.

The columns mirror the structure of the BASDAI, so a monthly score is a glance at the week rather than a guess. The symptom diary guide explains the choices.

Published

How to use it

  1. Print one page per week.
  2. Fill it in each morning once your stiffness has eased — that is when duration is known.
  3. Score pain and stiffness 0–10 for the day so far, and stiffness duration in minutes.
  4. Tick the flare column on days you would call part of a flare; note the start date in the margin.
  5. Once a month, read the pages back for direction and for the worst stretch before you look for anything else.
Read the guide behind this template →

Week of

Week starting
My 0 means / my 10 means · Anchor the scale once; reread it occasionally

Daily record

DayStiffness (min)Stiffness (0–10)Spinal pain (0–10)Other joints (0–10, where)Fatigue (0–10)Sleep (h / waking)Flare?Medication changesActivityNote
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2
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5
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7

This week in one line · Direction, worst day, anything that changed

This template is for recording, not for diagnosis or treatment decisions. Bring it to your clinician; do not change medication on the basis of what it shows.

The same structure, without the paper

HAVYT’s daily check-in records the columns above — stiffness, pain by region, fatigue, sleep, flare, medication, activity — in under a minute, charts them over time, and turns any period into a report for an appointment. Free to start on iPhone.

Download HAVYT on the App Store

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