Research.net Powered Online Survey

Migraine Journey 1: This is Jennifer's Story
Answer the questions below after watching the video. Then proceed to get your infographic for your next healthcare visit.

Question Title

How many headaches days do you have a month? (Required.)

1-5 headache days

6-10 headache days

11-14 headache days

15+ headache days

None, I support someone with migraine

Question Title

Are you please with your current management plan and medications? (Required.)

No, I need to talk to my provider about forming a new plan

Somewhat pleased, but still have room for improvement

I am pleased

Question Title

Are you aware of when and how to treat your migraine? (Required.)

Yes, I know when a migraine is coming and I feel prepared

No, I live in fear of my next migraine

I am aware of when a migraine is coming, I just don't know when to treat

I am aware of when a migraine is coming, I just don't know what to treat with

Question Title

Do you experience any gut issues? (upset stomach, diarrhea, nausea, constipation) (Required.)

Yes

Question Title

Do you feel stressed or have muscle tension? (Required.)

Yes

Question Title

Do you practice any relaxation techniques? (meditation, breathing, biofeedback, yoga) (Required.)

Yes

Question Title

Are you depressed? (Required.)

Yes

Not sure

Question Title

Do you have anxiety? (Required.)

Yes

Not sure

Question Title

What is the major cause of anger, stress, or anxiety in your life? (Required.)

Question Title

Do you exercise? (Required.)

Yes on a regular basis

On and off

Question Title

What is your energy level? (Required.)

High

Normal

Low

Question Title

What are your sleep habits? (Required.)

7-9 hours

Not sure, I wake up a lot and it's not consistent

Less than 7 hours

More than 9 hours

Question Title

What is your nutrition intake like? (mark all that apply) (Required.)

Healthy

Lots of breads, pasta, and snacks

Over 24 ounces of caffeine a day

At least 50 ounces of water a day

More than two alcohol drinks a day

Lots of fast food

Question Title

What are your migraine triggers? (choose all that apply) (Required.)

weather change

food or drink

light

sound

temperature

stress

anxiety

gut issues

depression

exercise

sleep

sugar

caffeine

dehydration

alcohol

medication

50% of survey complete.

Question Title

* How many headaches days do you have a month? (Required.)

Question Title

* Are you please with your current management plan and medications? (Required.)

Question Title

* Are you aware of when and how to treat your migraine? (Required.)

Question Title

* Do you experience any gut issues? (upset stomach, diarrhea, nausea, constipation) (Required.)

Question Title

* Do you feel stressed or have muscle tension? (Required.)

Question Title

* Do you practice any relaxation techniques? (meditation, breathing, biofeedback, yoga) (Required.)

Question Title

* Are you depressed? (Required.)

Question Title

* Do you have anxiety? (Required.)

Question Title

* What is the major cause of anger, stress, or anxiety in your life? (Required.)

Question Title

* Do you exercise? (Required.)

Question Title

* What is your energy level? (Required.)

Question Title

* What are your sleep habits? (Required.)

Question Title

* What is your nutrition intake like? (mark all that apply) (Required.)

Question Title

* What are your migraine triggers? (choose all that apply) (Required.)

How many headaches days do you have a month? (Required.)

Are you please with your current management plan and medications? (Required.)

Are you aware of when and how to treat your migraine? (Required.)

Do you experience any gut issues? (upset stomach, diarrhea, nausea, constipation) (Required.)

Do you feel stressed or have muscle tension? (Required.)

Do you practice any relaxation techniques? (meditation, breathing, biofeedback, yoga) (Required.)

Are you depressed? (Required.)

Do you have anxiety? (Required.)

What is the major cause of anger, stress, or anxiety in your life? (Required.)

Do you exercise? (Required.)

What is your energy level? (Required.)

What are your sleep habits? (Required.)

What is your nutrition intake like? (mark all that apply) (Required.)

What are your migraine triggers? (choose all that apply) (Required.)