Comparison

Symptio 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

Symptio

Track symptoms, medications, and triggers to identify health patterns. Visualize trends with charts and gain insights into your well-being. Syncs with Apple Health and offers family profiles for comprehensive care.

Highlights
  • Symptom logging (1-10 rating)
  • Add photos, medications, notes, triggers
  • 7-day and 30-day trend charts
  • Calendar heatmap
  • Smart Insights for pattern detection
  • Apple Health sync
  • Family profiles
  • PDF and CSV report export
Features
Read full description

You wake up with a migraine. You've had three days of GI issues. You're trying to figure out if the new medication is helping. None of this is in your Apple Health app. None of it makes it to your next doctor visit. That's what Symptio fixes. Open the app. Tap symptom. Rate 1–10. Done in 15 seconds. Expand only when you need to — add photos, medications, notes, triggers. No signup. No ads. Just open it and start. [ Spot patterns you'd otherwise miss ] 7-day and 30-day trend charts Calendar heatmap shows month-by-month Smart Insights find connections like "your headaches are worse after poor sleep" Side-by-side comparison of multiple symptoms [ More than just symptoms ] Weight: daily logs, trends, BMI Cycle: period tracking, ovulation predictions Bathroom: Bristol stool scale + hydration color chart — auto alerts for IBS, dehydration Apple Health sync: see heart rate, sleep, steps alongside your symptoms Photos: track rashes, wounds, visible changes [ Built for chronic condition self-management ] Migraine, IBS, fibromyalgia, long COVID, anxiety, chronic fatigue — Symptio is designed for people who need to track patterns over months, not just one bad day. [ Care for family too ] Separate profiles for parents, kids, spouse Get alerted when a loved one logs severe symptoms multiple days in a row Family health report for shared doctor visits [ Built for privacy ] All data lives in YOUR personal iCloud — our servers never see it No account, no email, no phone number No ads, no third-party trackers, no SDKs Delete anything anytime [ When you visit the doctor ] Export professional PDF reports with charts CSV export for deeper analysis One tap to share via Messages, Mail, or print Symptio Pro unlocks Smart Insights, multi-symptom comparison, family profiles, Apple Health sync, and CSV export. Core tracking is free forever. Your body has been telling its story. Now you can read it back. Privacy Policy: https://smartkiitos.com/symptio/privacy/ Terms of Use: https://smartkiitos.com/symptio/terms/

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

Symptio4 screens
Note & Tell4 screens

Verdict

The call

The clearest difference is update cadence: Symptio at every 4 days against Note & Tell's every 8 days. Note & Tell's advantage is iOS requirement (15.1 vs 17.0). On price, ads, in-app purchases and device support 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. Symptio sells 3 in-app purchases, starting at $4.99 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

Symptio ships an update every 4 days, Note & Tell every 8 days. The most recent releases landed on October 7, 2026 and October 16, 2026 respectively.

Scorecard2 real differences · 7 level
Symptio versus Note & Tell: the parameters behind the verdict, then further details
ParameterSymptioNote & Tell
PriceFreeFree
Rating5.0 (1 ratings) — better—
Number of ratings1 — better—
Update frequencyEvery 4 days — betterEvery 8 days
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchases—
DevicesiPhone, iPad, Apple Watch — betteriPhone, iPod
Requires iOS17.015.1 — better
Further details — not scored
Size13 MB41 MB
Age rating12+4+
DeveloperLiwei XieMasashi Fujihira

In-app purchases

3 purchases

Symptio

Subscriptions2
  • Symptio Pro3 Days trial$4.991 Month
  • Symptio Pro7 Days trial$29.991 Year
One-time1
  • Symptio Pro Lifetime$59.99
1 purchases

Note & Tell

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

Questions

Is Symptio free?
Symptio 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 Symptio or Note & Tell have ads?
Neither Symptio nor Note & Tell shows ads.
Which is updated more often, Symptio or Note & Tell?
Symptio ships an update every 4 days, and Note & Tell every 8 days. Most recently, Symptio was updated on October 7, 2026 and Note & Tell on October 16, 2026.

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