Marshall Protocol: Communicating My Status

My husband worked with me to develop this rating system so we could communicate better how I was fairing for the day. I encourage others dealing with chronic illness to do likewise (or it may come in handy during other life-changing times like pregnancy, grieving, frustrating job situations). Of course, I may hit many stages throughout the day but I kind of average it and may note particularly bad or good times. Effective and brief communication is very important for me and my support. 10—GREAT! Sustained over time 9—Pretty Good; symptom free 8—Stable plus some creativity 7—Stable; productive, clear head, happy 6—Guarded; unsure what is going to happen 5—I’m getting by 4—Struggling; coping 3—Barely functioning 2—Hiding (not down but away from others/activities) 1—NOT doing ANYTHING Levels 1-4 call for specific coping strategies and intervention.