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Tuliv Migraine Profile

Better understanding of your migraines and why you get them is your first step to migraine prevention. Your profile will be confidentially reviewed by one of our professional migraine specialists and you will receive a personal response via email which is  directly related to the information you provide. 

Your information is confidential and is never exposed or shared. Please take the time to answer all questions that pertain to you.

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Male
Female



Mother
Father
Sibling
Children
Grandparent
Other Relatives (aunts uncles cousins)
Don't know of other family members who get migraines
Don't know natural family history


Less than 1
1-3
4-7
7-15
15 or more
Almost every day
Always - never seems to go away

I can continue with my normal activity most of the time.
My normal activities are impaired and I am not productive.
I must stop what I am doing and rest for a while.
I am totally incapacitated and must go to bed

Side of Head
Forehead
Sinus area
Top of head
Back of head above neck
Facial area or jaw line
Entire head
Behind the eyes


I sometimes wake up around 4 AM with a headache
Start after I get up in the morning
Headache is full blown by 10 AM
Headaches generally start in the afternoon
Headaches come after 5 PM
Get headaches after exercising
Affected by smells and sound and sight
Weather changes cause headaches
Some foods trigger my headaches
I know of other triggers
Women: my period triggers headaches
No real pattern - headaches come any time
I've never really thought about when the come or go


Yes
No
Sometimes

Neck pain
Sinus pain or sinus type headache
Pain in the eyes
Facial pain
Fibromyalgia
Jaw or dental pain
Back or shoulder pain
Menstrual pain
Stomach
Nausea
Other

Triptan drugs such as Imitrex Maxalt Frova Relpax
Prescription pain medications
Over the counter medications such as Advil or Tylenol or Aspirin
Herbal or natural medications
Nothing - just wait for them to pass
Other

Topamax Depakote or other anti-seizure medications
Botox
Natural formula or herbal medications for migraines
Feverfew or butterbur
Anti-depression drugs
Other prescription drugs
Not using anything
Other



Herbal or natural dietary supplements
Probiotic - Supplements or other form
Acidophilus - in any form including yogurt
Multi-Vitamin & Mineral
Resveratrol
Energy drinks
Health drinks
Digestive aids
Cholesterol drugs
Viagra or Celebrex
Other - that may be triggering migraine (list below)



Doctor - general practitioner or family doctor
Neurologist
Acupuncturist
Naturalist
Chiropractor
Gynecologist (OB/GYN)
Other Doctors (such as endocrinologist or psychologist)
Self Help - researching on my own
Other
WOMEN ONLY

Headaches occur a few days before my period starts
Headaches occur during my period
Sometimes I get headaches the day after my period stops
Headaches sometime happen during ovulation (10-14 days after period)
Never noticed any relationship to menstrual cycle

Yes
No
Stopped taking within the past 3 months


Yes
No
Stopped within the past 3 months


Yes
No
Occasionally

Yes
No
Occasionally

Personal Help For You

We know migraines. Call 1-866-367-5953 (outside the US and Canada call 405-692-4395) or contact us online to visit with us. You are directly connected to a migraine specialist, without sales pressure or automated operators. All calls are considered personal and confidential. There is no cost or obligation for your call.

The Tuliv Migraine Library has the information you need from A to Z

Tuliv Ltd. Co. Oklahoma City, OK 73189-1466

Toll Free: 1-866-367-5953
Outside USA: 1-405-692-4395