Section 11 Headache
11.1 headache
Question: “Have you experienced a headache since the last questionnaire?”
Visibility: Always
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 2 | Yes |
| 1 | No |
11.2 headache_same
Question: “Is this the same headache that you reported in the last questionnaire?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 2 | Yes |
| 1 | No |
11.3 headache_start
Question: “What time did the headache begin?”
Visibility: headache_same = 1
Item Type: Time input
Header Image: 
Responses: Time in HH:MM AM/PM format via clock widget
11.4 headache_current
Question: “Is this headache still present?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 2 | Yes |
| 1 | No |
11.5 headache_end
Question: “What time did the headache end?”
Visibility: headache_current = 1
Item Type: Time input
Header Image:
Responses: Time in HH:MM AM/PM format via clock widget
11.6 headache_intensity
Question: “How intense is (or was) the headache?”
Visibility: headache = 2
Item Type: Slider bar
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | very minor |
|
| 2 | 2 | |
| 3 | 3 | |
| 4 | 4 | |
| 5 | 5 | |
| 6 | 6 | |
| 7 | extremely intense |
|
11.7 headache_sudden
Question: “Did the headache come on suddenly?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.8 headache_trigger
Question: “Did something in particular trigger the headache?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.9 headache_trigger_category
Question: “What do you think triggered the headache?”
Visibility: headache_trigger = 1
Item Type: Multi-select checkbox
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | bright light |
|
| 2 | odor/smell |
|
| 3 | noise |
|
| 4 | food |
|
| 5 | alcoholic drink |
|
| 6 | non-alcoholic beverage |
|
| 7 | hunger |
|
| 8 | thirst/dehydration |
|
| 9 | pain |
|
| 10 | exercise |
|
| 11 | stress |
|
| 12 | other |
|
11.10 headache_location
Question: “Where is (or was) the headache?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | both sides of your head |
|
| 2 | left side only |
|
| 3 | right side only |
|
| 4 | moved from one side to another |
|
11.11 headache_pulsating
Question: “Is (or was) the pain throbbing, beating or pulsating?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.12 headache_effort
Question: “Does (or did) the headache pain increase with routine physical activity such as bending over or climbing stairs?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.13 headache_nausea
Question: “Do (or did) you feel nauseated, vomit or have diarrhea?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.14 headache_light
Question: “How much does (or did) light bother you?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | not at all |
|
| 2 | mildly |
|
| 3 | moderately |
|
| 4 | severely |
|
11.15 headache_noise
Question: “How much does (or did) noise such as music, talking, TV, bother you?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | not at all |
|
| 2 | mildly |
|
| 3 | moderately |
|
| 4 | severely |
|
11.16 headache_smell
Question: “How much does (or did) certain odors such as perfume, food, smoke, bother you?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | not at all |
|
| 2 | mildly |
|
| 3 | moderately |
|
| 4 | severely |
|
11.17 headache_vision_changes
Question: “Which (if any) of the following vision changes did you experience?”
Visibility: headache = 2
Item Type: Multi-select checkbox
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | blurred or distorted vision |
|
| 2 | flashing lights/shapes |
|
| 3 | blind spots or missing parts |
|
11.18 headache_vision_change_time
Question: “When did those vision changes occur with respect to the onset of the headache pain?”
Visibility: headache_vision_changes.includes(1) or headache_vision_changes.includes(2) or headache_vision_changes.includes(3)
Item Type: Single-select radio button
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | before headache pain |
|
| 2 | after headache pain |
|
11.19 headache_numbing
Question: “Is (or was) your headache accompanied by any numbing or tingling in certain body areas?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.20 headache_numbing_time
Question: “When did this numbing or tingling occur with respect to onset of the headache pain?”
Visibility: headache_numbing = 1
Item Type: Single-select radio button
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | before headache pain |
|
| 2 | after headache pain |
|
11.21 headache_confusing
Question: “Does (or did) the headache make it difficult to speak, think or express yourself?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label |
|---|---|
| 1 | Yes |
| 0 | No |
11.22 headache_confusing_time
Question: “When did this difficulty occur with respect to the onset of the headache?”
Visibility: headache_confusing = 1
Item Type: Single-select radio button
Header Image:
| Value | Label | Image |
|---|---|---|
| 1 | before headache pain |
|
| 2 | after headache pain |
|
11.23 headache_medication
Question: “Which (if any) did you take to treat your headache?”
Visibility: headache = 2
Item Type: Multi-select checkbox
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | over-the-counter medications |
|
| 2 | prescription medications |
|
11.24 headache_interference
Question: “How much does (or did) the headache interfere with your activities?”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | not at all |
|
| 2 | mildly |
|
| 3 | moderately |
|
| 4 | severely |
|
11.25 headache_prevent
Question: “Since the last questionnaire, did you do any of the following to prevent a headache?”
Visibility: Always
Item Type: Multi-select checkbox
Header Image: 
| Value | Label | Image |
|---|---|---|
| 1 | take prescribed medication |
|
| 2 | take over-the-counter medication |
|
| 3 | reduce or change activities |
|
| 4 | use relaxation/yoga/other techniques |
|
| 5 | rest or take a nap |
|
| 6 | other prevention strategy |
|