Free printable PDF
IC Food and Trigger Log, free printable
This weekly food and trigger log keeps meals, drinks, supplements, non-food context, and symptom scores in one place. It is designed for people who want to compare symptom days with what else was happening around them.
Updated May 2026. By Intero.
What is on the form.
01Seven-day grid by meal and time
02Beverages and supplements row
03Non-food context row for activity, posture, products, and stress
04Symptom score column from 0 to 10
05Notes column for surrounding details
Make the pattern easier to see.
- 01Record entries during the day when possible.
- 02Include drinks and supplements if they matter to your tracking.
- 03Use the non-food row for things like sitting, activity, stress, or product exposure.
- 04After two weeks, look for repeated context around higher-symptom days.
Common questions.
- Do I have to measure portions?
- No. This form is for practical symptom tracking, not nutrition analysis. Add portions only if a clinician asks you to.
- Is this only about food?
- No. It includes non-food context because pelvic and urinary symptoms can be affected by more than meals alone.
- Is the form really free?
- Yes. The PDF is free to download.
Download the PDF, or keep tracking in Intero.
The worksheet is free. The Intero app gives you a private place to keep tracking on iPhone and review patterns over time.
Sources used
These sources informed the structure and language of this tracking worksheet. The form is informational and does not replace medical advice.