Cognitive Fatigue Tracker K79654

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Module A · Complete Once

My Personal Baseline

Why this matters: Understanding your personal patterns is the first step. This section helps you define what "normal" looks and feels like for you — so you can notice when something shifts.

Your Name Optional — for your records

Today's Date

My best time of day is typically…

On a "medium" day, my energy and thinking feel like… Describe in your own words — there's no right answer

My three most reliable early warning signs What signals does your body or brain send before you hit a wall?

Sign 1

What I notice:

It usually means:

Sign 2

What I notice:

It usually means:

Sign 3

What I notice:

It usually means:

Activities that reliably drain me List up to 5, one per line

Activities that help me restore List up to 5, one per line

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Module C · Weekly Check-In

Weekly Pattern Check

Patterns are powerful. Completing this section weekly helps you see trends across time — not just how today felt, but what conditions tend to support or undermine your energy week after week.

Looking at this week, my best days were:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

My hardest days this week were:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Best days

Hardest days

My energy was lowest when I… What conditions or activities seemed to correlate with your lowest energy?

One pattern I'm starting to see:

A warning sign I caught early this week:

One adjustment I want to try next week:

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Module D · As Needed

Fatigue Event Log

Use this section when you've "hit the wall" — a significant crash or fatigue episode. This information is valuable to share with your treatment team or coach to identify what triggered it.

Date of event

Approximate time

What was I doing in the 2 hours before? Be as specific as you can — include physical and mental activities

Warning signs I noticed — or missed:

Recovery timeline — my energy level at each point: Rate 1–10 how you felt at each interval after the crash

30 min after

2 hours after

Next day

What would I do differently next time?

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Module E · Update Monthly

My Pacing Plan

This is your action plan, built on what the tracking has revealed. Update it as you learn more about your patterns. Think of it as a living document — not a set of rules, but a set of supports.

My protected rest windows each day Times I commit to stopping, no matter what

Activities I'm moving to my peak energy window What gets priority placement in your best hours?

One thing I'm giving myself permission to scale back What is costing more energy than it's worth right now?

A phrase I can use when I need to stop Simple words that signal "I need to rest now" — to yourself or others

Who I can share this plan with A family member, caregiver, therapist, or coach who can help you stick to it

My commitment to myself One sentence in your own words

Ready to save your work?

Review your answers and download a PDF copy for your records or to share with your care team.

□ Cognitive Fatigue Tracker

My Personal Baseline

Today's Daily Tracking Log

Weekly Pattern Check

Fatigue Event Log

My Pacing Plan

✅ Your Cognitive Fatigue Tracker Summary