Monthly Blood Pressure Journal - Well Numbers

Day	Morning			Evening			Notes / Symptoms
Day	Sys	Dia	Pulse	Sys	Dia	Pulse	Notes / Symptoms
1
2
3
4
5
6
7
Week 1 Average: _______ / _______
8
9
10
11
12
13
14
Week 2 Average: _______ / _______
15
16
17
18
19
20
21
Week 3 Average: _______ / _______
22
23
24
25
26
27
28
29
30
31
Week 4+ Average: _______ / _______

Monthly Summary

Monthly Average

Lowest Reading

Highest Reading

% in Target Range

Notes for Doctor Visit

Normal <120/80

Elevated 120-129/<80

Stage 1: 130-139/80-89

Stage 2: 140+/90+

Crisis >180/120