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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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.
Did you know that more than 70% of people suffer Dry Eyes?
Check the boxes if you have:
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If you score more than three squares, then most likely you suffer from strong Dry Eyes.
Visit our specialized clinic (Dry Eye Clinic) because blotting treatment may lead to a significant improvement in your daily comfort and the quality of your eyesight and a new life free from all inconveniences. Call us 026133999