Doctor appointment prep: chronic illness one-pager

Ten minutes before your appointment, fill this in and bring the summary. It helps you say the most important things first, so you’re not trying to remember everything in a 10-minute slot.
Made by Juno, a companion app for people living with chronic illness. Not medical advice.

Appointment

Date of appointment

Who are you seeing?

A
B
C
D
E
F

What is the ONE thing you most need from this appointment?

What’s changed

The three biggest changes since your last appointment

What changed, when it started, and what it stopped you doing.

Which symptoms are bothering you most?

How have things been overall?

Worst it’s beenBest it’s been

Are you having crashes after activity (feeling worse 24–48 hours later)?

A
B
C

Day-to-day impact

What can you no longer do, or do less of?

Work, study, chores, exercise, socialising. Specifics help doctors most.

Good days per week

Bad days per week

Treatments

Any medication or treatment changes since last time?

Side effects you’ve noticed

Your questions

Questions you want answered, most important first

Anything you’d like to ask for?

Question mark