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EXAMPLE OF COMPLETED BASAL
TEMPERATURE CHART
(with temperature
readings connected to make a graph)
RECORD THESE
OBSERVATIONS &
SITUATIONS DAILY:
MUCUS:
dry
liquid
clear
moist
slippery
opaque
wet
yellow
sticky
thick
scant
tacky
lubricative
abundant
spotting
OTHER OBSERVATIONS:
cervix changes
breast changes
abdominal pain
mood changes
sick days
SITUATIONS THAT CAN ALTER
TEMPERATURE:
soar throat
vomiting
activity
cold, flu
diarrhea
traveling
fever
anxiety
toothache
sunburn
medications alcohol
elec. blanket
sleep disturbances
x = YOUR PERIOD
• = DAILY TEMPERATURE READING
= INTERCOURSE
•
R
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7
DATE
DAY OF CYCLE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 3132 33 34 35 36 37 38 39 40 41 42
99°
.9
.8
.7
.6
.5
.4
•
.3
.2
.1
98°
x x x x
.9
.8
•
.7
.6
.5
.4
.3
.2
.1
97°
.9
.8
.7
.6
.5
Jane Smith
NAME:
•
PREVIOUS CYCLES: LONGEST
SHORTEST
May
MONTH
THIS CYCLE
•
x x x x
35
28
29
99°
.9
.8
.7
.6
.5
.4
.3
.2
.1
98°
.9
.8
.7
.6
.5
.4
.3
.2
.1
97°
.9
.8
.7
.6
.5
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