How are your hands today?

Use this page to help you talk to your doctor about your symptoms. Think about your symptoms over the last month and fill in the chart below, then take it to your next doctor visit.

How do I feel?

Click on the icon with the smile that best represents your feelings today.

How bad is my pain

If you are experiencing no pain at all, pick 0. If your hands are extremely painful today, pick 10.

0

10

My pain is getting...

• better
• worse
• unchanged

How bad is my itching

If you are experiencing no itching at all, pick 0. If your hands are extremely itchy today, pick 10.

0

10

My itching is getting...

• better
• worse
• unchanged

I’m experiencing the following symptoms at the moment:

Tick the icons to activate so you can use them for shading in the hands below.

• Cracking
• Inflammation
• Blistering
• Swelling
• Scaling

Click on an icon, then click on the area you are experiencing the symptom.
Click the restart icon to clear your hands and start again.

How is my eczema affecting my ability to do things?

• Creating additional routines to ease pain or work around my symptoms
• Restricting my exposure to certain products and materials that might irritate my skin
• Constantly applying lotions and dealing with greasy hands
• Avoiding socializing and activities that may expose me to pain or embarrassment
• Changing my eating habits to avoid exposing my hands
• Changing the way I get dressed to avoid pain and touching fabrics
• Other:

Concerns

• I find it difficult to function normally in my day-to-day life at work.
• I find it difficult to function normally in my day-to-day life at home.
• I avoid socializing
• I need to avoid things that might make my hands worse
• Other: