Table 1.
The data sheet using in the clinical interview
| Item | Example |
|---|---|
| Gender | Female |
| Age | 43 |
| unilateral | Yes |
| bilateral | No |
| Pain quality | Pulsating |
| Pain intensity | 10 |
| Date of headache onset | 5/17/2014 |
| Duration of pain episodes | 24 hours |
| Attack frequency | 20/month |
| Attack with fixed period | No |
| The number of attacks | 50 |
| Aggravation by or causing avoidance of routine physical activity | Yes |
| Persistent headache, daily from its onset | No |
| Years of smoking | 22 years |
| Years of drinking | 0 year |
| How many cups of tea per day | 1 |
| How many cups of coffee per day | 0 |
| Family medical history | Yes |
| Location of pain* | Crown, Tempus |
| Precipitating factors* | Menstruation |
| Relieving factors* | Stay in dark room |
| Accompanying symptoms* | Photophoby, Phonophobia |
| Aura* | None |
| Premonitory symptom* | Feel weak |
*the options of these items are shown in Table 2.