1.
Results
If you answered “yes” to one question, there is a chance you have migraine disease.
If you answered “yes” to 2 or more of these questions, there is a high likelihood you have migraine disease.
Bring this form to your doctor and ask for help.
Here are a few more potential symptoms of
migraine disease.
Do You Have...
Headaches with light or sound sensitivity?
Pressure or pain across your cheeks, behind your eyes or across your forehead?
A feeling of pressure or blockage in your ears or the sensation you have water in them?
Very sensitive ears; bothered by wind?
Motion intolerance like difficulty reading in a car or tolerating an amusement ride?
Dizziness or unsteadiness?
Smell or taste sensitivity or irregularity?
Burning or tingling of the tongue?
Nasal congestion?
Runny nose?
Difficulty understanding what is said?
Dental or TMJ pain?
Having any of these reinforces the possibility that you live with migraine disease.