# CFS Tracker vs Note & Tell

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.

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.

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.

## The numbers

| Metric | CFS Tracker | Note & Tell |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.0 (2 ratings)](https://appshunter.io/ios/app/cfs-tracker/id6743564981/reviews)** | — |
| Number of ratings | **2** | — |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 8 days** |
| Monetization | Free with in-app purchases | — |
| Size | 219 MB | 41 MB |
| Requires iOS | 15.5 | **15.1** |
| Devices | **iPhone, iPad, iPod, Apple Watch** | iPhone, iPod |
| Age rating | +4 | 4+ |
| Developer | [Digital Therapeutics](https://appshunter.io/developer/1721663167) | [Masashi Fujihira](https://appshunter.io/developer/6794552304) |

## What reviewers say

### CFS Tracker

[App page](https://appshunter.io/ios/app/cfs-tracker/id6743564981)

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:** macOS Compatibility, Siri integration, Apple Watch app, iMessage stickers, Vision Pro support

**In-app purchases (16)**

| Purchase | Price | Billing |
| --- | --- | --- |
| flex pass | $4.95 | per month |
| easy pass | $5.99 | per 7 days |
| flex pass | $8.99 | per month |
| carey ai max | $19.99 | per month |
| yearly access | $19.99 | per year |
| smart pass | $24.99 | per year |
| carey ai ultra | $29.99 | per month |
| plus | $29.99 | per year |
| limited discount | $29.99 | per year |
| Premium Yearly | $34.99 | per year |
| yearly access | $39.99 | per year |
| Extended Trial | $39.99 | per year |
| 7-Day Trial | $49.99 | per year |
| store credit | $1.99 | one-time |
| carey ai credits | $8.99 | one-time |
| lifetime upgrade | $99.99 | one-time |


### Note & Tell

[App page](https://appshunter.io/ios/app/note-and-tell/id6794552302)

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Pro (One-time Purchase) | $9.99 | one-time |


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*