Migraine survey

Thank you for participating in the Migraine Survey. Please return to take the survey as changes in your headache patterns occur, so we can gather comprehensive information for our study. Thank you.

How often do you now get migraines?
Couple times a week
Once a week
Once a month
couple times a year
once every couple years

Do you get migraines more now, or less now?
I have always gotten migraines
I get migraines much less now
I get migraines much more now

How old are you now?
under 15
16-21
22-27
28-35
36-48
49-65
over 65

At what age did you start getting migraines?
under 15
16-21
22-27
28-35
36-48
49-65
over 65

What other symptons do you get with your migraines?
fever
nausious
sick to stomach
throwing up
dizzy

How many headaches do you get are not migraines?
All my headaches are migraines
Most of my headaches are migraines
few of my headaches are migraines
most of my headaches are not migraines

What is your gender?
male
female

What bothers you during migraine headaches the most?
bright light
noise
personal interaction
physical activity
television
any activity
music
warm weather

How old are you in comparison to your siblings you grew up with?
I am the oldest
I am the youngest
I have younger and older siblings
I am an only child

What helps your migraines?
cold temperature on the head
sleep
silence
rest
television
activity
throwing up
music
other

How would you rate your upbringing?
strict
difficult
conservative
average
easy

How much liquid do you drink a day?
less than a cup
about a cup
a couple cups
a few cups
over 2 liters

Do you usually drink caffinated liquid?
usually
sometimes
little
never

Do you drink a lot of soda?
usually
sometimes
little
never

How often do you eat fast food?
usually
sometimes
little
never

Do you smoke?
yes
no

Do you eat lots of red meat or animal products?
usually
sometimes
little
never