Weekly Memory
Pattern Log

ADHD Executive Function Tools

Track the context and personal impact of memory slips across the week
to surface patterns your calendar won’t show you.

Where This Tool Helps

Memory slips may feel random until you record what happened and the surrounding context. You may notice patterns by day, time, task, environment, sleep, stress, or another factor - or no clear pattern at all.

Before adding another reminder or app, use one week of observations to define the situation you want a support system to help with. The log may reveal a useful context or simply give you concrete examples to discuss.

How to Use This Tracker

  1. At the end of each day, note whether each memory event occurred and, if useful, how much it affected you. Do not reconstruct the whole day from memory; note what you remember and leave uncertainty visible.
  2. Use 1-5 only as a personal impact scale. A 1 means no meaningful impact and 5 means high impact for you. Do not total or interpret the numbers as a symptom score or clinical cutoff.
  3. Note the week and context at the top. High-stress weeks, travel weeks, and low-sleep stretches will look different. The context helps interpret the data.
  4. Bring the completed tracker to your next session. Your coach will help you identify which events or contexts you want to discuss first and what environmental changes might have the most leverage.

Coaching and Health Scope

This is a coaching reflection aid, not therapy, diagnosis, medical care, or a validated clinical instrument. Use it to notice your own examples and prepare questions, not to identify or treat a condition. Pause if the exercise becomes distressing and bring persistent symptoms, treatment questions, or safety concerns to a licensed health professional. Use emergency or local crisis services for immediate danger.

Weekly Memory Pattern Log

Memory event MON TUE WED THU FRI SAT SUN
1. Forgot appointments or scheduled events
2. Forgot to complete important tasks or assignments
3. Struggled to remember names or details from recent conversations
4. Misplaced commonly used items (glasses, keys, phone)
5. Forgot to follow through on promises or commitments
6. Difficulty recalling important dates or deadlines
7. Needed frequent reminders for routine activities
8. Forgot to bring necessary items when leaving the house
9. Lost track of where you left off in a task
10. Trouble remembering instructions or directions
1 = No impact 2 = Low impact 3 = Moderate impact 4 = Significant impact 5 = High impact

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