MedStart Psychiatry · Patient Tools
Mood & Sleep Weekly Tracker
How to use this tracker: Fill in each row every evening before bed. Use the 1–10 scales below. Bring this sheet to your next appointment — it helps your clinician see patterns that a single visit cannot capture.
Rating Scales
1Very Low / Worst
2–3Low / Poor
4–5Below Average
6–7Moderate / OK
8–9Good
10Excellent / Best
Daily Log
| Day / Date | Mood (1–10) |
Anxiety (1–10) |
Energy (1–10) |
Sleep Hrs | Sleep Quality (1–10) |
Medication Taken? Y/N |
Notable Events / Triggers |
|---|---|---|---|---|---|---|---|
| Monday ___/___ | |||||||
| Tuesday ___/___ | |||||||
| Wednesday ___/___ | |||||||
| Thursday ___/___ | |||||||
| Friday ___/___ | |||||||
| Saturday ___/___ | |||||||
| Sunday ___/___ | |||||||
| Weekly Average |
Weekly Reflection — What patterns do you notice? What helped? What made things harder?
Questions I want to bring to my next appointment