Instructions: Please answer these questions and hit "submit."

I. How it starts, how long it lasts:

1. Do you get headaches after sitting at a desk or computer for a long time, when you're worried or stressed, or when you don't take the time to eat or exercise?
yes no

2. Do certain foods or drinks cause or aggravate your headaches, especially chocolate, cheese, alcohol, or processed meats?
yes no

3. Do any of the following cause or aggravate your headaches: perfume, smoke, dust, chemical fumes, or a change in pressure or altitude?
yes no

4. Do your headaches ever start during or after exertion (running, climbing stairs, weight lifting, or other exercise) or sexual arousal?
yes no

5. Do you get headaches after a bout of hard coughing or sneezing or similar strain?
yes no

6. Do you get a headache right after eating ice cream or frozen slushies ("brain freeze")?
yes no

7. If you have recurring headaches that you treat with medication daily or almost daily, do you get a severe headache soon after you miss taking your medicine?
yes no

8. If you normally have a lot of coffee (or other caffeinated foods, drinks, or pills) do you notice you get a headache if you miss your caffeine fix?
yes no

9. Do your headaches come on suddenly and last between 14 minutes and three hours?
yes no

10. Do you ever wake up with a severe headache (even though you didn't have one when you went to bed and you didn't drink any alcohol)?
yes no

11. Do your headaches accompany or follow a bacterial infection, cold, flu, or allergies?
yes no

12. When you have a headache, do you also have a fever, cough, stuffy nose, or pain in your teeth, or do you see bright green or yellow mucus after blowing your nose?
yes no

13. Do your headaches last for a very long time (days or weeks at a time)?
yes no

II. Type and location of pain:

14. Does your head feel squeezed or tight?
yes no

15. Does your head pound, pulsate, or throb?
yes no

16. Does your head hurt on both sides, or equally all around?
yes no

17. Does it usually hurt only on one side of your head, often near the temple?
yes no

18. Do your face, neck, or shoulders feel tense or painful when you have a headache?
yes no

19. Do you have severe, sharp pain in or behind one eye, or on one side of your face?
yes no

20. Do your headaches tend to come frequently for several weeks then disappear for many weeks or months?
yes no

21. Do you have a dull ache around your eyes, cheeks, and forehead, and does the pain get worse over the course of the day or when you bend over?
yes no

III. How you feel, what helps

22. Is the pain usually bad enough to keep you from working effectively or thinking clearly?
yes no

23. When you have a headache, are you very sensitive to both bright light and loud noise, making you prefer to sleep or "hibernate" in a dark, quiet room?
yes no

24. Does physical activity, like walking, aggravate your headache?
yes no

25. Does it help your headache to keep busy with work, chores, or something interesting?
yes no

26. Does it ease the pain to stretch, go for a walk, or get some other form of exercise?
yes no

27. Are your headaches so intense that you can't sit still and you pace around the house restlessly?
yes no

28. If pain is one-sided, do you have any of the following symptoms on the same side as the pain: red or watery eye, droopy or puffy eyelid, stuffy or runny nose, or facial sweating?
yes no

29. During your headaches do you feel nauseated, or does your stomach get upset? (Symptoms could include gas, diarrhea, or vomiting.)
yes no

30. Do you ever see spots or lines before or during your headaches?
yes no