Pregnancy Journal Google Form Template

Intake & Onboarding6 minUpdated

A free Google Form template for expectant parents and healthcare providers to track pregnancy progress, symptoms, appointments, and daily notes easily.

Live form

Embedded Google Form. Scroll inside the frame to see all questions.

About this template

The Pregnancy Journal Google Form Template is designed for expectant parents, doulas, midwives, and obstetrics practices to effortlessly track the journey of pregnancy. Capturing essential daily metrics such as kick counts, exercise routines, weight changes, appointment dates, and personal reflections, this template provides a comprehensive, centralized log of prenatal health and milestones.

Whether used by individuals for personal memory-keeping and preparing questions for doctor visits, or utilized by healthcare providers to review patient trends between appointments, this form streamlines data collection. With Doc2Form, you can instantly turn this template into a live Google Form, making it accessible from any device to log daily updates on the go.

Key features

  • Track daily kick counts and movement patterns effortlessly.
  • Log weight, exercise routines, and health notes in one place.
  • Record upcoming doctor appointments and prepare questions in advance.
  • Upload photos of ultrasounds or journals via file link fields.
  • Fully customizable to fit personal preferences or clinical practices.

Use cases

Expectant parents tracking daily symptoms and fetal movement at home.

Midwives and OB/GYN clinics gathering structured updates between pati…

Midwives and OB/GYN clinics gathering structured updates between patient visits.

Documenting milestones and memories for a future baby book or journal.

What this form collects

  • Entry Date (Date)Select the date for this journal entry.
  • Entry Categories (Checkboxes)Select the main focus of today's log.
  • First Kick Time (Short answer)Note the time you started noticing movement today.
  • Last Kick Time (Short answer)Note the time of the last movement in your tracking session.
  • Number of Kicks (Short answer)Enter the total number of movements counted during your tracking period.
  • Your Weight (Short answer)Enter your current weight in pounds or kilograms.
  • Projected Weight (Short answer)Optional: Note your target or projected weight milestone if tracking with a provider.
  • My Exercises (Paragraph)Describe any physical activity, stretching, or prenatal workouts you completed today.
  • Doctor's Name (Short answer)Enter the name of your OB/GYN, midwife, or attending physician.
  • Hospital or Clinic (Short answer)Name of the facility for your appointment or planned delivery.
  • Upcoming Appointment Date (Date)Date of your next scheduled prenatal visit.
  • Questions & Notes for Doctor (Paragraph)List any symptoms, concerns, or questions you want to bring up at your next appointment.
  • Diary Notes & Reflections (Paragraph)Write down how you are feeling, cravings, funny moments, or thoughts about your growing baby.
  • Pictures or Ultrasound Links (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe the document/photo you wish to attach.

FAQ

How do I use this Pregnancy Journal template?

Simply click to convert it into your own Google Form using Doc2Form. Once in your Google Drive, you can customize any questions, share it with family members, or bookmark it for daily check-ins.

Can I track fetal movement like kick counts?

Yes, the form includes specific fields to record kick times, last kick time, and the total number of movements observed during your tracking sessions.

Is this form suitable for healthcare providers?

While great for personal use, healthcare providers and wellness coaches can also use or adapt this template to collect structured symptom and milestone logs from clients.

How can I attach ultrasound pictures or documents?

The form includes dedicated fields where you can paste links to cloud-stored photos (like Google Drive or Dropbox) or describe your attachments.

Can I edit the questions after importing?

Yes! Because the form lives directly in your Google Forms account, you have complete freedom to add, remove, or modify any questions to suit your needs.

Get this form in your Google Drive

Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.

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