Headache Impact Questionnaire

This questionnaire helps evaluate the frequency and severity of your headaches. Please select one option per question.

Select one option per question:

1. When you have headaches, how often is the pain severe?

2. How often do headaches limit your ability to do usual daily activities?

3. When you have a headache, how often do you wish you could lie down?

4. In the past four weeks, how often have you felt too tired to do work or daily activities?

5. In the past four weeks, how often have you felt fed up or irritated because of your headaches?

6. In the past four weeks, how often did headaches limit your ability to concentrate?