See also the Cushing's Journal at http://www.cushings-help.com/documents/cushings-journal.xls

Note: Not every patient has every symptom. Do not attempt to diagnose yourself. This list is a partial checklist of frequently-noticed symptoms. Carefully filling out this checklist and taking it to your medical personnel can be an important first step in getting appropriate testing and the proper medical diagnosis. Please show this to your qualified medical personnel.

Please read the Important Disclaimer at http://www.cushings-help.com/disclaimer.htm.

Print these symptoms to take to your doctor to help with your diagnosis. Check off each day that you have observed this symptom. Rank symptoms on a scale of 1 (present, but not bad), 2 (fair), 3 (bad) and 4 (unbearable!). Also helpful to take are any past medical records; pictures of yourself when you were thinner, had more hair, no straie, etc.

Your Name: __________________________________

Doctor's Name____________________________

Today's Date: ____________________________

Page ___ of ____

Possible Symptoms	First Noticed	Date	Date	Date	Date	Date	Date	Date
Sleep
Nonrestorative sleep; waking feeling unrefreshed or more tired than before sleep  F
Trouble sleeping through the night (with or without night sweats) PM
Lethargy and lack of sleep T
Insomnia T
Low vitality (fatigue) A
Chronic, crashing fatigue A, CFS, CR, D, IBS, L, SJ, T
Increased drowsiness CR
Sleep apnea A
Snoring A
Exhaustion after minimal effort or exercise
Other Symptoms You Have...
Comments:

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