WorkMigraine: Please Answer 4 Questions

Question Title

* 1. How many headache days do you average per month?

0-4

5-14

15+

None, I am in HR

None, I am an employer

Question Title

* 2. In the last 3 months, how many days of work have you missed due to migraine?

0

1-2

3-4

5+

Question Title

* 3. I am a...

Female

Male

Question Title

* 4. What is your age?

0

Age in Years

100

Clear

i We adjusted the number you entered based on the slider’s scale.