Download ready-to-print PDFAll worksheets

Edit cells and underlined areas in this browser tab. Nothing you type is uploaded or saved. Print or save as PDF before closing.

Facial pressure note card

Front-facing face with location labels for the forehead or brow, temple, around the eye, bridge of the nose, cheek or upper teeth, and jaw. Labels describe location only.
Front-facing face with location labels for the forehead or brow, temple, around the eye, bridge of the nose, cheek or upper teeth, and jaw. Labels describe location only.

Use these labels to describe where you felt the pressure.

Date and start time or estimate ________________________________________

Where and when

Write the first location, side and when you first noticed it.

 

 

What happened next

Write how it felt, how long it lasted and what else you noticed.

 

 

Impact and my question

Write what it interrupted and the question you want to ask.

 

 

Personal observations only. Not clinically reviewed. These sheets do not diagnose symptoms or replace your care team’s instructions. Do not delay care to complete a diary.

AirBloom · airbloom.app/resources