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Headache Assessment Questionnaire. CHAT was designed to identify all of the major primary headache disorders distinguish daily. PLEASE INDICATE WITH XS WHERE YOU EXPERIENCE PAIN. No one understands the effect my headaches have on my life. Take this WebMD assessment to find out which type of headache your symptoms suggest and what you can do to feel better.

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Yes No CIRCLE ANY OF THE FOLLOWING SYMPTOMS YOU HAVE WITH YOUR HEADACHES. The clinician should be alert for any signs or symptoms suggestive of a serious underlying cause of headache requiring emergency or urgent referral to secondary care. The general physical examination should include vital signs funduscopic and cardiovascular assessment and palpation of the head and face. Oswestry Low Back Pain Disability Questionnaire. Please answer the following questions about all of your headaches over the past 3 months. A variety of screening and diagnostic tools for migraine have been proposed and studied.

Because of my headaches I feel restricted in performing my activities.

Write your answer in the box next to each question. The first three PedMIDAS questions relate to the impact of headache on school performance. MIDAS stands for Migraine Disability Assessment Questionnaire. Few investigators have developed and evaluated computerized programs to diagnose headache. Migraine Disability Assessment Instructions. A variety of screening and diagnostic tools for migraine have been proposed and studied.

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The MIDAS Migraine Disability Assessment questionnaire was put together to help you measure the impact your headaches have on your life. _____ Chronic low back pain worse with fatigue 224. Headache is pain localised to any part of the head behind the eyes or ears or in the upper neck. Because of my headaches I feel handicapped. _____ Difficult maintaining manipulative correction 226.

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To develop and determine the accuracy and utility of a computerized headache assessment tool CHAT. Pain characteristics including severity site and spread of pain. Please take a moment to complete this questionnaire. Please answer the following questions about all of your headaches over the past 3 months. This questionnaire is used to determine the level of pain and disability caused by your headaches and helps your doctor find the best treatment for you.

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Did you suffer from headaches when you were younger. PLEASE INDICATE WITH XS WHERE YOU EXPERIENCE PAIN. _____ Calm on the outside troubled inside 223. 1A Please rate your baseline pain by circling the one number that best describes your pain on the average. What kind of headaches were you told you have.

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The information on this questionnaire is also helpful for your primary care provider to determine the level of pain and disability caused by your headaches and to find the best treatment for you. The clinician should be alert for any signs or symptoms suggestive of a serious underlying cause of headache requiring emergency or urgent referral to secondary care. To develop and determine the accuracy and utility of a computerized headache assessment tool CHAT. The MIDAS was developed to assess headache-related disability with the aim of improving migraine care. Caution needs to be taken to minimize duplication of days ie dont count a half day missed both as a full day missed and a half day missed.

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_____ Chronic low back pain worse with fatigue 224. Emotional Distress Functioning. A variety of screening and diagnostic tools for migraine have been proposed and studied. What kind of headaches were you told you have. This is stated in the directions and in the questions but occasionally needs to be checked.

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PLEASE INDICATE WITH XS WHERE YOU EXPERIENCE PAIN. As a child In my 20s 40s As a teenager In my 50s or 60s When were your headaches at their worst. Write your answer in the box next to each question. Your ability to function. No one understands the effect my headaches have on my life.

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Do you have any warning signs before the start of a headache. Family social and leisure activities. CHAT was designed to identify all of the major primary headache disorders distinguish daily. Hallmark physical signs are often absent and many physical. Do your headaches occur on any particular day of the week or time of day.

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Oswestry Low Back Pain Disability Questionnaire. A variety of screening and diagnostic tools for migraine have been proposed and studied. Pain is a patient-specific experience that requires ongoing assessment will help assess the two parts of chronic pain that often change over time persistent baseline and breakthrough pain. Family social and leisure activities. Your ability to function.

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My headaches make me angry. Write your answer in the box next to each question. Do you have any warning signs before the start of a headache. The MIDAS Migraine Disability Assessment questionnaire was put together to help you measure the impact your headaches have on your life. _____ Clench or grind teeth 222.

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Paid work and education schoolcollege Household work. No one understands the effect my headaches have on my life. Yes No CIRCLE ANY OF THE FOLLOWING SYMPTOMS YOU HAVE WITH YOUR HEADACHES. Take this WebMD assessment to find out which type of headache your symptoms suggest and what you can do to feel better. To develop and determine the accuracy and utility of a computerized headache assessment tool CHAT.

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Because of my headaches I feel restricted in performing my activities. _____ Calm on the outside troubled inside 223. Onset duration frequency and temporal pattern of the headache. _____ Clench or grind teeth 222. As a child In my 20s 40s As a teenager In my 50s or 60s When were your headaches at their worst.

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Did you suffer from headaches when you were younger. Onset duration frequency and temporal pattern of the headache. When did your current headache problem begin. Hospital Anxiety and Depression Scale HADS Profile of Mood States. Please answer the following questions about all of your headaches over the last 3 months.

Source: researchgate.net

1A Please rate your baseline pain by circling the one number that best describes your pain on the average. Neck pain nausea vomiting. Because of my headaches I feel restricted in performing my activities. _____ Clench or grind teeth 222. To develop and determine the accuracy and utility of a computerized headache assessment tool CHAT.

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_____ Clench or grind teeth 222. The MIDAS Migraine Disability Assessment questionnaire was put together to help you measure the impact your headaches have on your life. About 90 of men and 95 of women have at least one headache per year. This is stated in the directions and in the questions but occasionally needs to be checked. _____ Headache after exercising 220.

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Migraine Disability Assessment Instructions. Oswestry Low Back Pain Disability Questionnaire. _____ Feeling wired or jittery if drinking coffee 221. _____ Calm on the outside troubled inside 223. It was developed to measure headache-related disability in three areas.

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No one understands the effect my headaches have on my life. It is a self-administered questionnaire designed to quantify headache-related disability over a 3-month period. Because of my headaches I feel handicapped. Pain characteristics including severity site and spread of pain. The MIDAS was developed to assess headache-related disability with the aim of improving migraine care.

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The MIDAS Migraine Disability Assessment questionnaire was put together to help you measure the impact your headaches have on your life. Headaches represent 2 of all emergency department visits. _____ Chronic low back pain worse with fatigue 224. Few investigators have developed and evaluated computerized programs to diagnose headache. This is stated in the directions and in the questions but occasionally needs to be checked.

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_____ Headache after exercising 220. The clinician should be alert for any signs or symptoms suggestive of a serious underlying cause of headache requiring emergency or urgent referral to secondary care. _____ Calm on the outside troubled inside 223. To develop and determine the accuracy and utility of a computerized headache assessment tool CHAT. Did you suffer from headaches when you were younger.

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