The following questionnaire helps us

understand your condition and is a useful tool

in helping us determine if you may have chronic

migraines. Please be as thorough as possible when

answering these questions so we can develop a

headache treatment plan that works best for you.

IMPORTANT DEFINITIONS

A headache day is each day that you experience

headache pain of any kind. If you have one migraine

attack that lasts three days, we would count the one

migraine headache as three headache days. Please note,

even if you take medication that resolves or treats your

headache pain, that day is still considered a headache day if

you experienced any headache symptoms.

A chronic migraine is defined as 15 or more headache days

per month with each headache lasting 4 or more hours per

day. At least half of the headaches should be migraine.

A headache may be considered a migraine if you

experience any combination of the following

Constant, throbbing pain felt on one
or both sides of the head

Sensitivity to light and sound

Nausea and/or vomiting

Headaches that get worse
with movement (you may want to lie down)