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GP Evidence Sheet

Facts, dates and numbers, written down before you walk in. Fill it in on your phone or print it. Take it to your appointment and hand it over.

Name Appointment date

1 · The main reason I'm here

One or two sentences, in your own words. Lead with this.

2 · Symptom log

One line per episode. Rate how bad from 0 (none) to 10 (worst imaginable).

Date	What happened	Where	0–10	How long	What it stopped me doing

3 · How it affects my life

Days missed (work, school, uni) in the last 3 months Sleep, plans, relationships, exercise

4 · What I've already tried, and what I was told

Write what you were told word for word, with the date. Start with "I was told:".

5 · Patterns I've noticed

6 · Questions to ask

"Can you write in my notes that I've reported this, and how often?"
"What would you check or rule out, and when?"
"If it doesn't get better, what's the next step, and when should I come back?"

My own question

This sheet is a record of what you experienced. It isn't a diagnosis and doesn't replace medical advice. If your symptoms are severe or sudden, call NHS 111, or 999 in an emergency.

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