1. Have you been formally diagnosed with migraine or another type of headache?

a) Yes b) No

2. How many times a day do the attacks occur?

a) 0-2 b) 3-8 c) Continuous, unabating

3. How many attacks have you had?

a) 2-4 b) >5

4. Who diagnosed you?

a) Emergency room provider b) Urgent care Provider c) Neurologist d) Primary Care Doctor e) Other Clinician