To ensure you are provided with the most effective treatment by our healthcare professional please answer the questions honestly and accurately. The questionnaire should only take approximately 3 minutes to complete.

If you are unsure about any of the questions, please call us on 0115 8501944 or email us at [email protected]

Please urgently contact your GP or visit your nearest A&E if any of the following apply:

• Your migraine is worse than usual
• You have recently had a head injury
• Your symptoms started suddenly or at the back of your head
• You have a fever