Sample diary and report contents

See how a filled-in diary reads after two weeks, and what goes into the report the Peri app creates for appointments.

Sample: two-week symptom diary

This PDF was made with our printable symptom diary from a fictional fixture. It is not a real person’s data and is marked “Sample” on the page.

Page 1 of the sample symptom diary PDF: a 14-day grid with 1 to 5 ratings for hot flashes, night sweats, insomnia, brain fog, anxiety and joint pain, plus mood, sleep and bleeding rows and dated notes
Page 1 of the sample PDF, rendered from the file itself.

How to read it

That’s the kind of summary to bring to an appointment: how often, how strong, and what changed. It describes the diary; it doesn’t explain the cause.

What the Peri app report contains

Peri Premium creates a PDF from your own logs. On iPhone you choose 30, 90 or 180 days and which sections to include:

  • Header: date range and a note that it’s for information, not a diagnosis
  • Profile: the name from your profile (or “Patient”) and your stage
  • Symptom summary: days logged, average severity out of 5 and trend for each symptom
  • Cycle summary: average cycle length and logged period events
  • Medications and HRT: dose and schedule as you entered them, doses logged and missed
  • Daily notes from the period

The Android report has the same sections with slightly different headings. CSV export is free on both.

Peri Export Your Data screen with a free CSV export and a Premium doctor report PDF
From the iPhone app’s App Store screenshots (demo data).

We haven’t shown a filled-in app report here, because a realistic one needs months of health logs. The diary above is a website sample, not a copy of the app report.

Peri app icon

Track it in Peri

Symptoms, periods and HRT in one daily check-in. Free to start, no account needed.

iPhone (iOS 17 or later) and Android 8.0 or later.