Section 11 Headache
11.1 headache
[1] “Question: "Have you experienced a headache since the last questionnaire?"”
Visibility: Always
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
2 | Yes |
1 | No |
11.2 headache_same
[1] “Question: "Is this the same headache that you reported in the last questionnaire?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
2 | Yes |
1 | No |
11.3 headache_start
[1] “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
[1] “Question: "Is this headache still present?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
2 | Yes |
1 | No |
11.5 headache_end
[1] “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
[1] “Question: "How intense is (or was) the headache?"”
Visibility: headache = 2
Item Type: Slider bar
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | very minor | |
2 | 2 | |
3 | 3 | |
4 | 4 | |
5 | 5 | |
6 | 6 | |
7 | extremely intense |
11.7 headache_sudden
[1] “Question: "Did the headache come on suddenly?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.8 headache_trigger
[1] “Question: "Did something in particular trigger the headache?"”
Visibility: headache = 2, Visibility: headache_trigger = 1
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.9 headache_trigger_category
[1] “Question: "What do you think triggered the headache?"”
Visibility: headache_trigger = 1, Visibility: headache = 2
Item Type: Multi-select checkbox
Header Image:
Responses: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 | |
13 | unknown |
11.10 headache_location
[1] “Question: "Where is (or was) the headache?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses: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
[1] “Question: "Is (or was) the pain throbbing, beating or pulsating?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.12 headache_effort
[1] “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:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.13 headache_nausea
[1] “Question: "Do (or did) you feel nauseated, vomit or have diarrhea?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.14 headache_light
[1] “Question: "How much does (or did) light bother you?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | not at all | |
2 | mildly | |
3 | moderately | |
4 | severely |
11.15 headache_noise
[1] “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:
Responses:Value | Label | Image |
---|---|---|
1 | not at all | |
2 | mildly | |
3 | moderately | |
4 | severely |
11.16 headache_smell
[1] “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:
Responses:Value | Label | Image |
---|---|---|
1 | not at all | |
2 | mildly | |
3 | moderately | |
4 | severely |
11.17 headache_vision_changes
[1] “Question: "Which (if any) of the following vision changes did you experience?"”
Visibility: headache = 2
Item Type: Multi-select checkbox
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | blurred or distorted vision | |
2 | flashing lights/shapes | |
3 | blind spots or missing parts | |
4 | no vision changes |
11.18 headache_vision_change_time
[1] “Question: "When did those vision changes occur with respect to the onset of the headache pain?"”
Visibility: headache_vision_changes.includes(2) or headache_vision_changes.includes(3) or headache_vision_changes.includes(4)
Item Type: Single-select radio button
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | before headache pain | |
2 | after headache pain |
11.19 headache_numbing
[1] “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:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.20 headache_numbing_time
[1] “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:
Responses:Value | Label | Image |
---|---|---|
1 | before headache pain | |
2 | after headache pain |
11.21 headache_confusing
[1] “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:
Responses:Value | Label |
---|---|
1 | Yes |
0 | No |
11.22 headache_confusing_time
[1] “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:
Responses:Value | Label | Image |
---|---|---|
1 | before headache pain | |
2 | after headache pain |
11.23 headache_medication
[1] “Question: "Which (if any) did you take to treat your headache?"”
Visibility: headache = 2
Item Type: Multi-select checkbox
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | over-the-counter medications | |
2 | prescription medications | |
3 | no medications |
11.24 headache_interference
[1] “Question: "How much does (or did) the headache interfere with your activities?"”
Visibility: headache = 2
Item Type: Single-select radio button
Header Image:
Responses:Value | Label | Image |
---|---|---|
1 | not at all | |
2 | mildly | |
3 | moderately | |
4 | severely |
11.25 headache_prevent
[1] “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:
Responses: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 | |
7 | none |