Table 7.
When you have a headache, do you ever have discomfort (pain, tension, or tenderness) in the following areas? (Please tick (✓) one box for each item).
Affected area | Never | Seldom | Sometimes | Often | Almost always |
---|---|---|---|---|---|
Neck | □ | □ | □ | □ | □ |
Shoulders | □ | □ | □ | □ | □ |
Ears | □ | □ | □ | □ | □ |
Eyebrow | □ | □ | □ | □ | □ |
Eyes | □ | □ | □ | □ | □ |
Face | □ | □ | □ | □ | □ |
Cheeks | □ | □ | □ | □ | □ |
Jaw | □ | □ | □ | □ | □ |
Nose/bridge of nose | □ | □ | □ | □ | □ |
Others (please specify) |