Heart Failure Symptom Tracker

Weight (kg) Blood Pressure (mmHg) Heart Rate (bpm)

Symptom	Present?	Severity	Comments
Shortness of Breath	Yes No	Mild Moderate Severe
Swelling (edema)	Yes No	Mild Moderate Severe
Fatigue	Yes No	Mild Moderate Severe
Chest Pain	Yes No	Mild Moderate Severe