Daily Journal
Date: Pre-Taper/Taper (Circle One) Day # Step#
Note: Do not change eating or exercise habits during this program.
Current Drugs & Dosages: (List all taken, time of day and amount)
Food and Liquid:(List all food and liquid consumed, time of day and amount)
The Road Back Nutritionals: (List all taken, time of day and amount)
Rate each of these symptoms from 1-10. Keep track along the way to help you remember where you started from and where you are now. Give the symptom a 10 if it is the worst ever and a 1 if very mild.
Aches
Anxiety
Appetite
Body Pains
Energy
Exercise
Fatigue
Mood
Sleep