Get Disability Test

Filling out the Disability Test is an important step in assessing the impact of your headaches on daily life. This guide will provide you with clear, step-by-step instructions on how to complete the Migraine Disability Assessment Test online, ensuring you provide the necessary information to your healthcare provider.

Follow the steps to complete the Disability Test.

1. Click ‘Get Form’ button to obtain the Disability Test form and open it for completion.
2. Begin by answering the first question: On how many days in the last 3 months did you miss work or school because of your headaches? Input the total number of days in the box next to the question.
3. Next, proceed to the second question: How many days in the last 3 months was your productivity at work or school reduced by half or more due to your headaches? Note that this question does not include the days you missed work or school, so ensure to count only those days.
4. Move on to the third question: On how many days in the last 3 months did you not do household work because of your headaches? Fill in the number of days accordingly.
5. For the fourth question, indicate how many days in the last 3 months your productivity in household work was reduced by half or more due to your headaches. Carefully exclude the days from the previous question.
6. Lastly, answer the fifth question: On how many days in the last 3 months did you miss family, social, or leisure activities due to your headaches? Enter the total days in the provided box.
7. After answering all five questions, calculate the total number of days from questions 1-5 and write the sum in the designated area.
8. Next, respond to the additional queries: A. On how many days in the last 3 months did you have a headache? and B. On a scale of 0 - 10, how painful were these headaches on average? Ensure to answer accurately as this information is vital for your physician.
9. Review your answers for accuracy and completeness before finalizing the form.
10. Once completed, you may save your changes, download, print, or share the form as needed.

Take the next step in managing your health by completing the Disability Test online.