1) Have headaches become a regular part of your life? *

2) Have you ever injured your head, neck, or back? *

3) Do you grind your teeth or have a problem with your bite? *

4) Do you take pharmaceutical drugs to manage or prevent your headaches? *

5) Have you tried alternative treatments for headaches? *

Have you tried alternative treatment for headaches?



6) Do you consume caffeine? *

7) Have you had a CT scan or MRI of your head? *

8) Are you stressed out or depressed? *

9) Do any particular foods cause headaches? *

10) Do you have rebound headaches if you miss doses of your medications? *