Bucket · appointment sheet
Before my appointment
Who I’m seeing Date
1. Why I’m here — the one thing I most need from today
2. What has been happening
Since when · how often · what my worst days are like · what I can’t do now
3. What tends to come before it
Anything I’ve noticed, even a day or two before
4. What I’ve tried, and what happened
5. Medicines and supplements I take now
| Name | Dose | How often | Since |
|---|---|---|---|
6. Questions I want answered
1.
2.
3.