Headache Questionnaire Tell me about your situation… There is a good chance you are with 90% of people with headaches that can benefit from this site. What is your single greatest challenge when it comes to headaches?Gender Male Female Age 10-20 20-40 40-60 60+ Which of the following best describes your headache experience? Neither, I have not seen anyone for my headaches, but would like to know my options I had good success with medication or some other treatment and have not had any issue since I have tried several treatments including medication with only temporary relief Which of the following best describes you? I do have headaches, but they are fairly minor and have not considered treatment I had headaches but they are no longer a problem and were successfully treated I know someone with headaches who may need some help Headaches have always been a part of my life and will not go away despite multiple interventions Where have you received treatment? I have not received treatment A Physical Therapist The Chiropractor My family practice doctor A Neurologist How would you describe your healthcare experience in regards to your headache treatment? Satisfied, but I am still dealing with headaches Very satisfied, my headaches are gone Not satisfied, I have spent many dollars and hours without headache relief Neutral, not sure if there is an answer for me Name First Last CompanyThis field is for validation purposes and should be left unchanged.
