Comparison

CFS Tracker vs Note & Tell

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

CFS Tracker

This app helps individuals manage energy-limiting chronic illnesses by tracking symptoms, pacing, medications, and daily activities. It provides insights into patterns and trends to better understand health and communicate with healthcare providers.

Highlights
  • Log diverse symptoms including fatigue and brain fog
  • Track medications, supplements, and treatments
  • Record activity, rest, sleep, and nutrition
  • Customize tracking for personal health patterns
  • Set reminders for health routines
  • Monitor post-exertional malaise (PEM) and crashes
  • Review symptom trends with charts and summaries
Features
Read full description

Feeling overwhelmed by chronic fatigue, brain fog, low energy, and unpredictable symptoms? Cifora is a dedicated CFS/ME tracker and chronic fatigue journal built for energy-limiting conditions. Track symptoms, pacing, PEM patterns, medications, supplements, sleep, mood, pain, activity, and rest, alongside Apple Health data, in one simple place. Living with an invisible illness often means balancing activity, rest, routines, treatments, appointments, and daily responsibilities. Cifora helps you organize your health notes and review your own patterns over time, so you can keep clearer records of difficult days, flares, PEM, and crashes. Built for people tracking ME/CFS, chronic fatigue syndrome, myalgic encephalomyelitis, long COVID, post-viral fatigue, fibromyalgia, POTS, dysautonomia, migraines, MCAS, IBD, chronic pain, anxiety, depression, and other complex multisystem, energy-limiting conditions. Key features: 1. Log symptoms including fatigue, brain fog, muscle pain, joint pain, headaches, dizziness, nausea, palpitations, insomnia, sleep issues, post-activity symptoms, and other invisible symptoms 2. Track medications, supplements, treatments, care routines, appointments, and personal health notes 3. Record activity, rest breaks, sleep quality, hydration, nutrition, mood, pain, social activity, and daily energy levels 4. Customize your symptom tracker around your own health, pacing, fatigue, and energy patterns 5. Set reminders for medications, supplements, symptom check-ins, hydration, sleep, rest, and routine tracking 6. Keep a record of post-exertional malaise (PEM) patterns, energy dips, symptom flares, and energy crashes over time 7. Review charts and summaries of symptom trends across mild, moderate, severe, crash, and recovery days 8. Keep a connected health record Everything is designed for low cognitive load. Quick entries, customizable fields, reminders, charts, summaries, and reports help you stay consistent without feeling overwhelmed, even during high fatigue or brain fog. Use Cifora to keep clearer records, prepare for appointments, organize invisible symptoms, understand your own history, and communicate more clearly with your healthcare providers. Whether you are tracking mild, moderate, or severe days, Cifora gives you a flexible structure for daily chronic fatigue and ME/CFS tracking across energy, symptoms, sleep, pain, activity, rest, medications, supplements, nutrition, hydration, mood, and appointments. Your data stays private, encrypted, and under your control. You can export your records or delete your account at any time. We do not sell your health information to third parties. Disclaimer: Cifora is for tracking, journaling, educational, and informational purposes only. It is not a medical device and does not provide medical advice, diagnosis, or treatment, and is not intended to diagnose, treat, cure, prevent, or monitor any disease or medical condition. Always seek a doctor's advice in addition to using this app and before making any medical decisions, including before changing medications, supplements, treatments, activity levels, or care routines. EULA: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

About

Note & Tell

Read full description

Note & Tell helps you record pain, wellbeing, daily life, and exercises taught by healthcare professionals. Pain can draw attention to what hurt or what you could not do. A day may also include small changes, such as walking farther, completing an exercise, finishing a task, or enjoying a positive moment. Record pain together with sleep, fatigue, anxiety, activity, and positive experiences. Review your records yourself or during a healthcare visit. 【Record pain with daily context】 Record pain intensity from 0 to 10 as often as needed. You can also add: • Time the pain occurred • Pain location • How the pain felt, such as burning, stabbing, aching, throbbing, electric, or numb • What was happening, such as exercise, walking, stairs, or going out • Other factors you noticed, such as weather, cold, lack of sleep, mood, or anxiety Compare records to reflect on differences between morning and evening, after walking, or on a more comfortable day. 【Record wellbeing and what went well】 Your daily summary can include: • Bedtime, wake-up time, and sleep duration • Fatigue and anxiety • Positive moments and encouraging feelings • Concerns and difficult feelings • Steps, walking time, and activity notes • Falls and difficulties in daily life Record what you were able to do and review the whole day, not only the pain score. 【Keep track of exercises you were taught】 Register instructions, repetitions, and precautions for exercises taught by a healthcare professional. Record completion and attach photos. Review exercise completion with your other records. Note & Tell does not choose exercises or recommend repetitions, intensity, or suitability. 【Review your latest 14 days】 The Report screen organizes your latest 14 days of records for review or use during a healthcare visit. Save questions for your next visit. You can also create a basic 14-day PDF and use the system share sheet to save or share it with a destination you choose. 【Key features】 • Record pain intensity, time, location, sensation, and context • Record pain multiple times per day • Body map for pain locations • Record sleep, fatigue, anxiety, falls, and daily difficulties • Record positive moments, steps, walking time, and activity notes • Record exercises taught by healthcare professionals • Attach photos to exercise instructions • Save questions for your next visit • View a basic 14-day report • Create and share a basic 14-day PDF • Japanese and English display 【One-time Pro purchase】 • 30-day report and PDF • Register healthcare institutions, facilities, and staff • Attach up to 10 photos to each exercise • Choose question examples and save frequently used questions • Search activity notes, questions, pain-change contexts, exercise instructions, and other history Pro is a one-time purchase with no subscription, automatic renewal, or expiration. 【Privacy】 Health records, questions, exercise information, and photos stay on your device. No account is required. This data is not stored on the developer's server, synchronized online, or included in OS cloud backup. If you delete the app or change devices, your records and photos cannot be restored. Device-to-device transfer does not transfer the app's stored records. Restoring Pro does not restore health records or photos. 【Medical notice】 Note & Tell is not a medical device. It does not diagnose conditions, determine the cause of pain, provide medical advice, or recommend exercises. If you have severe pain, a sudden change in your condition, or other concerning symptoms, do not rely on the app alone. Consult a qualified healthcare professional.

Screenshots

CFS Tracker4 screens
Note & Tell4 screens

Verdict

The call

The clearest difference is update cadence: Note & Tell at every 8 days against CFS Tracker's every 8 months. CFS Tracker's advantage is device support (4 vs 2). On price, ads, in-app purchases and iOS requirement there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. CFS Tracker sells 16 in-app purchases, starting at $4.95 per month and Note & Tell sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

CFS Tracker ships an update every 8 months, Note & Tell every 8 days. The most recent releases landed on October 15, 2026 and October 16, 2026 respectively.

Scorecard2 real differences · 7 level
CFS Tracker versus Note & Tell: the parameters behind the verdict, then further details
ParameterCFS TrackerNote & Tell
PriceFreeFree
Rating3.0 (2 ratings) — better—
Number of ratings2 — better—
Update frequencyEvery 8 monthsEvery 8 days — better
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchases—
DevicesiPhone, iPad, iPod, Apple Watch — betteriPhone, iPod
Requires iOS15.515.1 — better
Further details — not scored
Size219 MB41 MB
Age rating+44+
DeveloperDigital TherapeuticsMasashi Fujihira

In-app purchases

16 purchases

CFS Tracker

Subscriptions13
  • flex pass$4.951 Month
  • easy pass$5.997 Days
  • flex pass$8.991 Month
Show 10 more
  • carey ai max$19.991 Month
  • yearly access$19.991 Year
  • smart pass$24.991 Year
  • carey ai ultra$29.991 Month
  • plus$29.991 Year
  • limited discount$29.991 Year
  • Premium Yearly$34.991 Year
  • yearly access3 Days trial$39.991 Year
  • Extended Trial3 Days trial$39.991 Year
  • 7-Day Trial7 Days trial$49.991 Year
One-time3
  • store credit$1.99
  • carey ai credits$8.99
  • lifetime upgrade$99.99
1 purchases

Note & Tell

One-time1
  • Pro (One-time Purchase)$9.99

Questions

Is CFS Tracker free?
CFS Tracker is free to download, with in-app purchases available.
Is Note & Tell free?
Note & Tell is free to download, with in-app purchases available.
Do CFS Tracker or Note & Tell have ads?
Neither CFS Tracker nor Note & Tell shows ads.
Which is updated more often, CFS Tracker or Note & Tell?
CFS Tracker ships an update every 8 months, and Note & Tell every 8 days. Most recently, CFS Tracker was updated on October 15, 2026 and Note & Tell on October 16, 2026.

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