Migraine Disability Assessment Questionnaire
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The MIDAS (Migraine Disability Assessment) questionnaire was put together to help you measure the impact your headaches have on your life.  The information on this questionnaire is also helpful for your provider to determine the level of pain and disability caused by your headaches and to find the best treatment for you.
INSTRUCTIONS:  Please answer the following questions about ALL of the headaches you have had over the past week.  Type  0 (zero) if you did not have the activity in the past week.  Type 7 if you had the activity every day in the past week.
On how many days in the past week did you miss work or school because of your headaches? *
How many days in the past week was your productivity at work or school reduced by half or more because of your headaches? (Do not include days you counted in question 1 where you missed work or school.) *
On how many days in the past week did you not do household work (such as housework, home repairs and maintenance, shopping, caring for children and relatives) because of your headaches? *
How many days in the past week was your productivity in household work reduced by half of more because of your headaches? (Do not include days you counted in question 3 where you did not do household work.) *
On how many days in the past week did you miss family, social or leisure activities because of your headaches? *
On how many days in the past week did you have a headache? (If a headache lasted more than 1 day, count each day) *
On average how painful were these headaches? *
No pain at all
Unbearable pain
Global Assessment of Migraine Severity:  Taking into account all aspects of your migraine, how severe is your migraine? *
Not at all severe
Extremely severe
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