Headache Impact Test | Harley Street Medical Centre

This questionnaire was designed to help you describe and communicate the way you feel and what you cannot do because of headaches.

To complete, please tick one answer for each question.

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1. When you have headaches, how often is the pain severe? *

Never

Rarely

Sometimes

Very Often

Always

2. How often do headaches limit your ability to do usual daily activities including household work, work, school, or social activities? *

Never

Rarely

Sometimes

Very Often

Always

3. When you have a headache, how often do you wish you could lie down? *

Never

Rarely

Sometimes

Very Often

Always

4. In the past 4 weeks, how often have you felt too tired to do work or daily activities because of your headaches? *

Never

Rarely

Sometimes

Often

Always

5. In the past 4 weeks, how often have you felt fed up or irritated because of your headaches? *

Never

Rarely

Sometimes

Very Often

Always

6. In the past 4 weeks, how often did headaches limit your ability to concentrate on work or daily activities? *

Never

Rarely

Sometimes

Very Often

Always

TOTAL SCORE

WHAT DOES YOUR SCORE MEAN?

* If You Scored 60 or More

Your headaches are having a very severe impact on your life. You may be experiencing disabling pain and other symptoms that are more severe than those of other headache sufferers. Don’t let your headaches stop you from enjoying the important things in your life, like family, work, school or social activities.

* If You Scored 56 – 59

Your headaches are having a substantial impact on your life. As a result you may be experiencing severe pain and other symptoms, causing you to miss some time from family, work, school, or social activities.

* If You Scored 50 – 55

Your headaches seem to be having some impact on your life. Your headaches should not make you miss time from family, work, school, or social activities.

* If You Scored 49 or Less

Your headaches seem to be having little to no impact on your life at this time. We encourage you to take HIT-6 monthly to continue to track how your headaches affect your life.

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