Headache & Migraine Questionnaire
Medical disclaimer -

This questionnaire is to help us identify what could be causing your headaches. It is for informational purposes only and should not be used as professional advice. If you have a medical emergency you should consult your doctor. If you have had migraines or headaches for less than 3 months, a severe sudden onset of headache or you have a new type of headache over the age of 50 you should consult your doctor immediately.
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This form was created inside of Victoria Sports and Rehabilitation Clinic.

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