ITEM
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RESPONSE
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T1.
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How long have you been having the headaches that are bothering you?
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more than a year / many years
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T2.
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How often do you get a headache which is more than just mild, or makes it difficult to function normally or that you take medication to treat?
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every day or nearly every day, for weeks - months at a time, then no headaches for months - years
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T3.
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How long does each of these headaches usually last (without treatment)?
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less than 3 hours
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SLHT1.
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How long does each severe headache attack usually last?
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15 minutes - 3 hours
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SLHT2.
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How many headache attacks do you usually have each day?
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1 - 5 most days
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SLHT3.
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In between the severe headache(s), is there some headache the rest of the day?
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no, just the severe headache
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SLH1.
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Are the severe headaches (or facial pains)...
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always one side and always on the same side
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SLH2.
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Are these headaches...(choose all that apply)
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around the eye, forehead, or temple
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mainly in the face (cheek or jaw)
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SLH3.
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During the headaches, is there usually...(choose all that apply)
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tearing or redness of the eye only on the same side as the headache
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runny nose only on the same side as the headache
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swelling or drooping of the eyelid only on the same side as the headache
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feeling very restless or agitated (such as needing to pace or bang your head)
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SLH4.
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Would you describe these headaches/facial pains as...(choose all that apply)
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SLH5.
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Are these headaches triggered by touching the area, yawning, chewing, swallowing or a similar stimulus?
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No
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WHA1.
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Have you had any headaches which started so suddenly and were so severe that it was like being hit in the head, or like an explosion
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No
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WHA2.
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Does you headache sometimes wake you up from sleep?
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yes
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WHA3.
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Can you trigger a headache, or make it much worse, by
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cough/sneeze/bearing down?...no
exercise?...no
sex?...no
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WHA4.
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Do you experience any neurologic symptoms, with or without your headache, such as
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WHA5.
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Do you have any history of seizures?
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no
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WHA6.
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Do you have any of the following symptoms?
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WHA7.
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Do you have any history of cancer?
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no
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