Capital District Parkinson's Support Group

Davis Phinney Foundation - Worksheets and Resources

WORKSHEETS AND RESOURCES

From the Davis Phinney Foundation

The materials in the Worksheets and Resources section of the Every Victory Counts manual are a great way to help you become more aware of the timing and characteristics of your symptoms, document those symptoms, note changes and discuss them with your doctor. You can also log progress toward achieving your wellness goals, such as exercise, and see how far you’ve come and where you need to go.

Take an active role in managing your Parkinson’s. Click the links below to download printable copies of all the tools in the Worksheets and Resources section.

All worksheets from Every Victory Counts® (2017) (1182 downloads)

WELLNESS AND LIFESTYLE SELF-ASSESSMENTS

• Parkinson's Care Questionnaire

• Goal Summary for Doctor Visits

• Daily Medication Log

• Overall Medication Log

• Wellness Self-Assessment

• Pre-Exercise Self-Assessment

• Exercise Journal

• Nutrition Self-Assessment

• Parkinson's Psychosis Self-Assessment

• Deep Brain Stimulation (DBS) Self-Assessment

• Our Relationship Self-Assessment

SYMPTOM CHECKLISTS

• My Symptoms Worksheet

• Bladder Worksheet

• Cognitive Wellness Worksheet

• Constipation Worksheet

• Dental Worksheet

• Dyskinesia and "Off" Time Log

• Emotional Wellness: Anxiety

• Emotional Wellness: Depression

• Fatigue Worksheet

• Gait, Balance, and Freezing Worksheet

• Insomnia and Sleep Worksheet

• Low Blood Pressure and Dizziness Worksheet

• Speech and Communications Worksheet

• Swallowing Worksheet

• Sexual Dysfunction Worksheet

MEDICAL INFORMATION SNAPSHOTS

• Clinical Appointments Summary

• Current Symptoms Summary

• Wellness Team Contact Information

• Medical Providers

• DBS Medical History

• Prepare for Your Hospital Stay

• Medical Summary for Your Doctor Appointment

• Medical Summary for Dentists