Do you take a multivitamin every day?
*
Yes
No
Are you vegetarian or vegan?
*
Yes
No
Do you know your Vitamin D level?
*
Yes
No
Do you have trouble tolerating gluten or dairy?
*
Yes
No
Do you get abdominal pain or bloating?
*
Yes
No
Do certain foods trigger your migraines?
*
Yes
No
Do you have brain fog or fatigue?
*
Yes
No
Do you eat 100% organic fruits and vegetables at home?
*
Yes
No
Do you drink filtered water?
*
Yes
No
Do you usually sleep 7-8 hours a night with no major interruptions?
*
Yes
No
Do you tend to get migraines before your period?
*
Yes
No
How have your stress levels been in the past 3-6 months?
*
High
Low
How often do you have head pain ~ all pain days, not just migraine days?
*
0-10
11-20
21-30
Do your migraines interfere with your life?
*
Yes
No