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Get Headache Disability Index
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How to fill out the Headache Disability Index online
The Headache Disability Index is a valuable tool to help assess the impact of headaches on daily life. This guide will provide you with clear, step-by-step instructions on how to complete the form online effectively.
Follow the steps to complete the Headache Disability Index form.
- Press the ‘Get Form’ button to access the Headache Disability Index and open it in your online editor.
- Fill in your name at the top of the form where it indicates 'Patient Name.' This personal information is essential for identification.
- Input the date in the designated area provided. This helps track when the assessment was completed.
- For the section regarding headache frequency, read the options carefully and circle the number that best describes how often you experience headaches.
- In the next section, circle the descriptor that best reflects the severity of your headaches, choosing from mild, moderate, or severe.
- Proceed to the statements listed under the 'Please read carefully' section. For each item, mark 'YES', 'SOMETIMES', or 'NO' based on your experiences related to headaches.
- Continue completing the items by circling your responses on each statement, ensuring to answer truthfully to reflect your situation accurately.
- After filling in all required fields and sections, review your responses for accuracy and completeness.
- Once you are satisfied with your filled out Headache Disability Index, save your changes. You can then choose to download, print, or share the form as needed.
Complete your Headache Disability Index online today to better understand your needs.
Answer each question only as it pertains to your headache. SCORING INSTRUCTIONS: Yes = 4 points, Sometimes = 2, No = 0. Using this system, a total score of 10-28 is considered to indicate mild disability; 30-48 is moderate disability; 50-68 is severe disability; 72 or more is complete disability.
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