It is a table I made up in MSWord, but I cannot find the original...so I took apicture of a blank copy. If you want to make up your own it is pretty easy in word.
I simply place the corresponding # in the column/row. It is really easy to see any cycling patterns, or to see if medications or sleep are associated with mood. I find the chart worked well for me. Over the years I perfected my scoring system as follows:
Row 1: Mood (Happy/Sad): 1/2 suicidal, suicidal thoughts/plans, 3/4 severely/moderately depressed, 5 flat/apathetic, 6 feel okay to good, 7 Target = 7...Feeling good with moments of feeling great, 8 feeling really high, 9 hypomanic, 10 manic
Row 2: Mood (Irritability): 1 rage, 2 hostile, 3 agitated, 4 irritated, 5 moderate, 10 none
Row 3: Mood (Anxiety): 1 panic,2 severe anxiety attacks, 3 severe anxiety, but no physical symptoms, 4, severe-moderate anxiety, 5 moderate anxiety, 10 none
Row 4: Sleep: # of hours and whether I was awake asleep, awake asleep etc.
Row 5: Fatigue: 1 extreme, 5 moderate, 7 not fatigued, 10 extremely hyperactive
Row 6: any exercise
Row 7 Medication and Other: used this to list meds, med doses and med changes I use a system of upwards arrows (increase dose), sideways arrows (dose remains same), or downwards arrows (lowering dose) and put what ever milligram/s of whichever med I am changing, leaving the med area blank if no changes are made since the previous day.
You can easily make up your own rating scale. I found this worked well for me. I hope it helps someone.