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2012
January
H
headache based on gender and age
headache based on gender and age
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Please indicate your age and sex and answer the three questions. Your identity will not in any way be reflected or registered. Confidentiality will be observed. Thanks.
Age (Please indicate)
Sex (Please indicate)
-- Select --
Male
Female
How often do you usually experience headache in a week?
Once or twice a week
More than twice a week
I seldom experience headache
How long do you usually have headache?
It usually lasts for several minutes only
It usually lasts for several hours
It usually lasts for a day
It usually lasts for several days
If you are to rate the pain during a headache in a scale of 1-10 with 10 as the most painful, what would it usually be?
1-3
4-6
7-10
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