CDEs
Forms
Each time you have a severe headache, how long are you unable to work or undertake normal activities [PhenX]
Headache freq last 3Mo nRate PhenX
# Ds miss school nRate PhenX
# Ds reduced productiv nRate PhenX
# Ds no housework nRate PhenX
Because of your headaches on how many days in the last 3 months . . . was your productivity in house-hold work reduced by half or more
Because of your headaches on how many days in the last 3 months . . . did you miss family, social, or leisure activities
Age headaches began PhenX
Have you ever gone to the hospital emergency room or to an urgent care clinic because of your severe headaches [PhenX]
Usual headache treatment PhenX
Have you ever taken prescription medication for headache on a DAILY basis, whether or not you have a headache, to help prevent a severe headache from happening in the first place?
Any other med daily PhenX
Last took daily med PhenX
Consider headaches migraines PhenX
Diagnosed with headache type PhenX
Age diagnosed migraines PhenX
(During the past 6 months) Did you have painful sores or irritations around the lips or on the tongue, cheeks, or gums more than once?
Did you first have the sores or irritations more than 6 months ago [PhenX]
Does anyone in the family use toothpaste with fluoride [PhenX]
Family use toothpaste fluoride PhenX
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