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IC Food and Trigger Log, free printable
Use this weekly food and trigger log to track meals, drinks, supplements, non-food notes, and symptom scores in one place. It is for comparing symptom days with what else was happening around them.
Updated May 2026. By Intero.
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What is on the form
- Seven-day grid by meal and time
- Beverages and supplements row
- Non-food context row for activity, posture, products, and stress
- Symptom score column from 0 to 10
- Notes column for surrounding details
How to use it
- 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 days when symptoms got worse.
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.
Sources used
These sources informed the structure and language of this tracking worksheet. The form is informational and does not replace medical advice.