Free printable
A printable Parosmia symptom diary, with a box for every day.
Updated: 9 October 2026
A week of parosmia on one A4 page. Each row is a symptom people living with parosmia often keep an eye on, and each column is a day. Tick the days a symptom showed up, or write 0 to 3 for how much it got in the way, and by the appointment the week has already told its story.
Parosmia is a distortion of the sense of smell: things you know well smell different, and usually unpleasant. Coffee, onions, meat and toothpaste are common triggers, often turning rotten, chemical or burnt. It frequently follows a loss of smell after COVID-19 or another infection, arriving a few months into recovery, and it can also follow a head injury or sinus problems.
The list is a starting point, not a test. Cross out anything that is not you and use the empty rows for what is. It describes a week; it does not say what is causing it, and only a clinician can work that out with you.
No sign-up. Print it, or download it as a PDF. To print, press Ctrl and P, or Command and P on a Mac, and only the sheet below goes on the paper. Everything else, including this paragraph, is left off it.
How to use it
- Print it on a day that is not too hard, and keep it somewhere you will see it
- Each evening, tick the symptoms that showed up, or write 0 to 3 for how much they got in the way
- Use the lines at the bottom for what helped and what made things worse
- Take two or three weeks of sheets to your appointment, or copy the pattern onto the symptom summary sheet
Parosmia symptom diary
Week starting Name
| Symptom | Mon | Tue | Wed | Thu | Fri | Sat | Sun |
|---|---|---|---|---|---|---|---|
| Distorted smells | |||||||
| Distorted tastes | |||||||
| Nausea from smells | |||||||
| Foods I can't face | |||||||
| Appetite loss | |||||||
| Avoiding cooking or places | |||||||
| Low mood around food | |||||||
| Other: | |||||||
| Other: | |||||||
| Other: | |||||||
| Other: | |||||||
| Other: |
What helped
What made it worse
For my appointment
My own weekly record of my symptoms, written by me. Not a medical record. A tick describes my week; it does not say what is causing it.
taluvu.co.uk · Free printable
Printing these sheets for other people
You're welcome to print or photocopy these sheets and hand them out on paper, as many copies as you need, and you don't have to ask us first. That includes support groups, charity volunteers, ward and clinic staff, libraries, schools, and anyone helping someone else keep a record. There's nothing to pay and nothing to sign.
Questions people ask
Does ticking most of these mean I have Parosmia?
No. The list describes what parosmia can involve for many people. It does not tell you what is causing your symptoms, and ticking few or many of them proves nothing either way. Take the filled-in sheet to a clinician, who can look at the whole picture with you.
What if my symptoms are not on the list?
Use the empty rows, or cross out what does not apply and write your own. The symptoms printed here are a starting point, taken from the NHS and charity information linked on our Parosmia page, and from what people living with parosmia tell us they keep an eye on.
Can I use this without the app?
Yes. The sheet is complete on its own, and it does not know whether you use taluvu. If you would rather keep the same record on a phone, taluvu starts you with this same list when you choose Parosmia.
More sheets, and where to go next
If you would rather not write it by hand
taluvu is a chronic illness tracker for iPhone and for your web browser that keeps the same kind of record in about a minute a day, and turns it into a summary you can take to an appointment. The sheet above works perfectly well on its own.
Nothing on this page is medical advice. If you are worried about your health, contact your GP practice or NHS 111. In an emergency ring 999, and if you are struggling to keep yourself safe, Samaritans are on 116 123. How we write these pages.