Weight and Waist Log: Printable Blank Sheet

A blank printable sheet for tracking weight and waist measurements over time. A single number cannot diagnose a condition or determine a treatment goal. This page does not store your health values on the server. Use the “Print blank log / Save as PDF” button below. It opens your browser’s print dialog, where you can print on paper or choose Save as PDF.

On a phone, scroll the table sideways to see all columns. Landscape printing may leave more room for handwriting.

Weight and waist log

Date and time Weight (kg or lb) Waist (cm or in) Conditions and notes
       
       
       
       
       
       
       
       
       
       

Use consistent units and note whether you measured at a similar time and under similar conditions. For waist measurement, place the tape horizontally just above the hip bones without compressing the skin; note if you used another method.

Previous result and visit questions

Previous date, value, units, and conditions: _____________________________

What changed or concerns you: _____________________________________

Questions for your clinician: _______________________________________

Related: Waist-to-height ratio · BMI calculator · Record sheets

Source and scope

Waist measurement instructions: US CDC Healthy Weight. Editorial check: 2026-09-26. General information, not a substitute for care. No independent clinician review was performed.