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💊 ADHD & attention · Free printable tool

Medication & Effects Log

Two weeks of facts to bring to your doctor: dose, focus, mood, sleep, side effects. Memory is not a reliable witness.

Rate focus and mood from 0 (worst) to 5 (best) at the same time each day, for example late afternoon. Note the time of the dose: the wear-off window matters as much as the dose itself. Never change a dose without your prescriber.

A4 PDF · 2 pages · sent by email with a direct link · no account needed
Related screening test: ADHD →
Medication & Effects Log

What is inside

  • Date · Dose / time · Focus 0-5 · Mood 0-5 · Sleep (h) · Appetite · Side effects · Notes
  • What I want to ask my doctor
  • Patterns I notice (time of day, weekends, caffeine, exercise)

How to use it

  • 1Print it, or open it on a tablet and fill it with a stylus.
  • 2Use it for one week before judging it. New habits need a few repetitions.
  • 3Bring it to your doctor or therapist: a filled sheet says more than memory.

This tool supports self-management. It is not a diagnosis and does not replace professional care.