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"<nobr>Copyright&nbsp;2005.&nbsp;HeadacheConsult.com</nobr>","<nobr>Your&nbsp;Name:</nobr>","<nobr>Email:</nobr>","When you have headaches, how often is the pain severe? ","How often do headaches limit your ability to do usual daily activities including household work, work, school or social activities? ","When you have a headache, how often do you wish you could lie down? ","In the past 4 weeks, how often have you felt too tired to do work or daily activities because of your headaches? ","In the past 4 weeks, how often have you felt fed up or irritated because of your headaches? ",
"In the past 4 weeks, how often did headaches limit your ability to concentrate on work or daily activities? ","On how many days in the last 3 months did you miss work or school because of headaches? ","How many days in the last 3 months was your productivity at work or school reduced to half or more because of your headaches? (Do not include days you counted in question 1 where you missed work or school)","On how many days in the last 3 months did you not do household work because of your headaches? ",
"How many days in the last 3 months was your productivity in household work reduced to half or more because of your headaches? (Do not include days you counted in question 3 where you did not do household work)","On how many days in the last 3 months did you miss family, social or leisure activities because of your headaches?","On how many days in the last 3 months did you have a headache? (If a headache lasted more than 1 day, count each day)","<nobr>days</nobr>","On a scale of 0-10, on average how painful were these headaches? (where 0 = no pain at all, and 10 = pain as bad as it can be) ",
"<nobr>HEADACHE&nbsp;ASSESSMENT&nbsp;REPORT</nobr>","<nobr>HIT-6&nbsp;Score:</nobr>","<nobr>MIDAS&nbsp;Score:</nobr>","","","Never","Rarely","Sometimes","Very Often","Always","6","8","10","11","13","Show Me Assessment Report","CLOSE Window");function q_17(v0,v1,v2,v3){switch(v0){case"4":{q_18("101").v4((q_18("52").v5()+q_18("54").v5()+q_18("56").v5()+q_18("58").v5()+q_18("60").v5()+q_18("62").v5()));q_18("110").v4((q_18("80").v5()+q_18("82").v5()+q_18("84").v5()+q_18("86").v5()+q_18("88").v5()));
q_18("122").v4("Quick Report For:"+"<b>"+q_18("165").v5()+"</b>");q_18("114").v4("<b>MIgraine Disability ASsessment (MIDAS) </b>is a questionnaire that measures headache-related disability. ");q_18("112").v4("<b>Headache Impact Test (HIT)-6 </b>is a tool used to measure the impact headaches have on your ability to function on the job or at school, at home, and in social situations.");if(q_18("101").v5()>=60){q_18("118").v4("Your headaches are having a very severe impact on your life. You may be experiencing disabling pain and other symptoms that are more severe than those of other headache sufferers. Don’t let your headaches stop you from enjoying the important things in you");
}if(q_18("101").v5()>=56&q_18("101").v5()<=59){q_18("118").v4("Your headaches are having a substantial impact on your life. As a result you may be experiencing severe pain and other symptoms, causing you to miss some time from family, work, school, or social activities.");}if(q_18("101").v5()>=50&q_18("101").v5()<=55){q_18("118").v4("Your headaches seem to be having some impact on your life. Your headaches should not make you miss time from family, work, school, or social activities.");}if(q_18("101").v5()<=49){
q_18("118").v4("Your headaches seem to be having little to no impact on your life at this time. We encourage you to take HIT-6 monthly to continue to track how your headaches affect your life.");}if(q_18("110").v5()<=5&q_18("92").v5()>=6){q_18("121").v4("MIDAS GRADE I: Minimal or Infrequent Disability. Although you have infrequent headaches but severe migraine, you may benefit from first-line treatment with specific migraine therapies (e.g. triptans)");}if(q_18("110").v5()<=5&q_18("92").v5()<=5){
q_18("121").v4("MIDAS Grade I: Minimal or Infrequent disability. This usually indicates low medical need. Simple, over-the-counter analgesics may be effective in the acute treatment of these patients.");}if(q_18("110").v5()>=6&q_18("110").v5()<=10){q_18("121").v4("MIDAS Grade II: Mild or Infrequent disability. This usually indicates moderate medical need. You may require an acute prescription medication. Some MIDAS Grade II patients may also qualify for first-line triptan medication if their headaches are severe.");
}if(q_18("110").v5()>=11&q_18("110").v5()<=20){q_18("121").v4("MIDAS Grade III: Moderate disability. This indicates a high medical need. These patients are experiencing significant disability and their migraine attacks are having a severe impact on their lives. Specific acute therapy, such as a triptan, is usually"+"the most appropriate therapy for these patients, providing they are suitable recipients.");}q_19();q_18("125").v4("Use your browser's Print function to print this report. OR press 'CTRL + P' to print this page.");
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