INSTRUCTIONS: Please answer the following questions about ALL the headaches you have had over the last 3 months. Write zero if you did not do the activity in the last 3 months.
Migraine Disability Assessment Score (Questions 1 -5 are used to calculate the MIDAS score).
Grade I - Minimal or Infrequent Disability: 0-5
Grade II - Mild or Infrequent Disability: 6-10
Grade III - Moderate Disability: 11-20
Grade IV - Severe Disability: > 20
This questionnaire was designed to help you describe and communicate the way you feel and what you cannot do because of headaches. Your HIT-6 results will be communicated with our medical team.