Migraine Survey









  • Never
  • Once
  • 2-3 times
  • More than 3 times

  • Vacations
  • Kids' school events
  • Visiting family
  • Hobbies

  • Yes
  • No

  • Over-the-counter medications
  • Prescription - treatment medications (taken at the first sign of migraine)
  • Prescription - prevention medications (taken for migraine prevention)