1. Default Section

 
100% of survey complete.

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* 1. How long have you had your headaches?

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* 2. How often do you get your headaches?
Are they worse at any time of the day or night?

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* 3. Does anything trigger your headaches?

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* 4. Do you have nauseousness associated with your headaches or
any change in vision associated with your headaches?

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* 5. Are they mostly on one side, both, middle or involve your temples, the back of your head, neck, or shoulders??

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* 6. Does anything make them better, worse?

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* 7. Does your jaw ever, "click," or "pop"?

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* 8. Do you ever have to unstick your jaw in the morning?

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* 9. Do you ever have trouble opening wide or closing?

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* 10. What is your name, e-mail, phone?  Which is the best way to give you your headache evaluation?

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