Tell us more about your headaches
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How long ago did your current headaches begin?
When was your most recent headache?
At what age did you have your first headache?
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Are you ever completely free of pain?
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Do you have more than one type of headache? Please describe them each separately.
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How often do your headaches occur?
How many headaches do you have each month?
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How long do the headaches last?
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Do you experience any warning signs before the start of a headache? If so, please describe them.
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Do your headaches occur on any particular day of the week or time of day?
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Help us understand the severity of your headaches
How would you describe the pain of your most serious headaches?
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When you have a headache (and possibly after), does your scalp and face become sensitive to the touch—and do you avoid combing your hair or putting on glasses or jewelry?
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Which of these factors seem to contribute to your headaches? Select all that apply.
What parts of the head do you experience pain?
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Is there anything else related to treatment that you'd like to ask or discuss with your medical provider?
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Do you have a preferred treatment?
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Would you like to share anything else with your provider through an upload?
