| Never (6 points) | Rarely (8 points) | Sometimes (10 points) | Very often (11 points) | Constantly (13 points) |
1) When you have headaches, is the pain intense? |
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2) Is your ability to carry out your usual daily activities, including household chores, work, school or activities with others, limited because of your headaches? |
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3) When you have headaches, would you like to be able to lie down? |
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4) In the past 4 weeks, have you felt too tired to work or carry out your daily activities because of your headaches? |
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5) In the past 4 weeks, have you experienced a feeling of “ras-le-bol” or annoyance because of your headaches? |
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6) Over the past 4 weeks, has your ability to concentrate on your work or daily activities been limited because of your headaches? |
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TOTAL |
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