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Ty Afternoon Evening/Night Scale of 0-10 No pain 0 1 2 3 4 5 6 7 8 9 10 Pain as bad as it could be SYMPTOMATIC MEDICATIONS (Tablets/injections per day) (Medications taken to treat a headache eg. Triptans, painkillers, etc.) Name: / mg Overall relief Name: / mg Overall relief Name: / mg Overall relief Name: / mg Overall relief Relief: 0-1-2-3 0 None 1 Slight Relief 2 Moderate Relief 3 Comple.

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