Headache calendar.

Your doctor will probably ask you to keep track of your headaches using a headache calendar. You might want to start before your first visit. If so, please download the Headache Calendar. Even a few days of information can be helpful. Again, an accurate log of the medications you take will be very helpful. Review the instructions, and look at the sample calendar. Again be sure to bring this in with you for your first visit.
Instructions for completing headache calendar (please see sample calendar included in the dowload):
Headache activity.
Please log your headache activity each day at the end of the day.
For any day with headache: for each part of the day with headache, please record a number from 1-10 to indicate how severe the headache feels (or how much it interferes with your activity):
1 – 3: mild headache; aware of it in background; does not interfere with activity
4 – 6: moderate headache; makes it more difficult to function normally
7 – 9: severe headache; unable to function; have to stay in bed
10 – as bad as pain can get
When there is no headache at all, please leave the squares blank.
Women – please circle the days of your menstrual period, or if you take birth control pills, please circle the days that you do not take active medication.
Medication log.
Please list each medicine you take to relieve headache symptoms.
For any day with headache, please record the total number of doses of that medicine you took that day.
You do not need to list your preventive medicines unless there is a change in the dose.
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