Body Temperature Monitoring Log Form
Please use this form to accurately record and track body temperature readings for health monitoring purposes.
Full Name of Person Monitored
*
First Name
Last Name
Date of Temperature Reading
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Body Temperature Value
*
Measurement Unit
*
Celsius
Fahrenheit
Measurement Method
*
Oral
Axillary (Underarm)
Tympanic (Ear)
Rectal
Temporal (Forehead)
Time of Day
*
Please Select
Morning
Afternoon
Evening
Night
Recent Activities Before Measurement
Resting
Exercise
Ate or Drank Hot/Cold Items
Showered/Bathed
None
Symptoms Present
No Symptoms
Fever/Chills
Sweating
Headache
Fatigue
Other
Medications Taken in Last 12 Hours
Additional Notes or Observations
Submit Log
Should be Empty: