| 24 . Do you ever have excessive thirst/hunger prior to a headache? | Yes |  | | |
| 25 . Do odors such as perfumes or gasoline fumes ever trigger a headache? | Yes | | | |
| 26 . Do you feel drained or “worn-out” the day after a headache? | Yes | | | |
| 27 . Did you ever suffer from motion sickness as a child? | Yes | | | |
| 28 . Do you lose your appetite with a headache? | Yes | | | |
| 29 . Do you ever feel lightheaded or off-balance with a headache? | Yes | | | |
| 30 . Do you ever experience difficulty thinking or speaking clearly with a headache? | Yes | | | |
| 31 . Do you ever have diarrhea after a headache? | Yes | | | |
| 32 . Does constipation ever seem to trigger your headaches? | Yes | | | |
| 33 . Is it difficult to read during a headache? | Yes | | | |
| 34 . Will watching TV aggravate a headache? | Yes | | | |
| 35 . Is your headache pain dull and steady, like an intense constant pressure? | | Yes | | |
| 36 . Do you usually have more than 5 headaches per week? | | Yes | | |
| 37 . Do your headaches usually occur during the night? | | | Yes | |
| 38 . Do you have watering of the eye on the affected side of the headache? | | | Yes | |
| 39 . Do you get multiple headaches, which wake you during the night? | | | Yes | |
| 40 . Would you describe your headache pain as a red-hot poker in one eye? | | | Yes | |
| 41 . Would you describe your headaches as a squeezing or vise-like sensation? | | Yes | | |
| 42 . Do you always have a headache (daily headache)? | | Yes | | |
| 43 . Does coughing or sneezing ever start a headache? | | | | Yes |
| 44 . Do you tend to pace the floors with a headache? | | | Yes | |
| 45 . Do you get several very intense headaches daily, each lasting less than 5 minutes? | | | | Yes |
| 46 . Are your headaches so excruciating that you have considered suicide? | | | Yes | |
| 47 . Can you have 6-12 month periods when you experience NO headaches? | | | Yes | |
| 48 . Is your headache less bothersome if you keep active at work or play? | | Yes | | |
| 49 . Do your neck or shoulder muscles feel tight and painful during the headache? | | Yes | | |
| 50 . Do you have frequent muscle and joint pain? | | Yes | | |
| 51 . Have you been feeling down or depressed? | | Yes | | |
| 52 . Have you noticed a decrease in your sexual desire or drive? | | Yes | | |
| 53 . Do you often feel moody or easily irritated? | | Yes | | |
| 54 . Have you noticed a general change/distortion in your perception of taste? | | | | Yes |