Web Results

my.clevelandclinic.org/ccf/media/files/Canada/Headache_intake_questionnaire.pdf

Migraines or other headaches? Work History. Highest level of education. Current occupation. Currently working? Yes. On disability.

headaches.org/wp-content/uploads/2018/02/MIDAS.pdf

Scoring: After you have filled out this questionnaire, add the total number of days from questions 1-5 (ignore A and B). MIDAS Grade. Definition. MIDAS Score. I.

www.stonybrookmedicine.edu/sites/default/files/New%20Headache.pdf

Headache Questionnaire. Page 1 of 5. S. B. U. H. 2. 0. 1. 2. N. 0. 8. 2. At what age did you have your first headache: ______ What year did your current ...

www.universitymds.com/wp-content/uploads/2015/09/Headache_Questionaire_083115.pdf

Headache Questionnaire. Patient Name: Date: 1. Did the headaches start after an accident, illness or infection? □Yes □ No. 2. How long has the patient had ...

www.scripps.org/assets/documents/web059migraineassessmenttest.pdf

The MIDAS (migraine disability assessment) questionnaire can help your doctor assess the impact your headaches are causing on your life and determine the.

www.massgeneral.org/assets/MGH/pdf/surgery/plastic-surgery/pre-treatment-migraine-questionnaire.pdf

average. 3. How long do your migraine headaches usually last after you take your migraine medicine? (Check one). □ No more ...

hqlo.biomedcentral.com/track/pdf/10.1186/s12955-020-01361-9.pdf

the migraine screen questionnaire (MS-Q) using categorical data methods. Material ... AS, et al. Factor scoring models of the Pittsburgh sleep quality index: a .

www.nbneuro.com/headachequestionnaire2.pdf

In our evaluation of headache, your history is typically our most valuable tool for diagnosis and subsequent treatment. If you have any questions regarding this form ...

foothillfamilyclinic.com/wp-content/uploads/2015/06/Interactive_Henry_Migraine_Questionnaire.pdf

How would you describe your migraine headaches? (Check all the apply). Throbbing/Pounding. Ache/pressure. Like a tight band. Dull. Other______________.

jpro.springeropen.com/track/pdf/10.1186/s41687-019-0138-x.pdf

Migraine-Specific Quality of Life Questionnaire version. 2.1 (MSQ v2.1) Role Function-Restrictive (RFR) domain, which measures the impact of migraine on work ...