Patient Instructions:
This questionnaire helps your doctor understand the severity and impact of your symptoms.
Please answer all questions honestly based on your experience during the specified time period.
There are no right or wrong answers.
Your responses will help guide diagnosis, treatment, and follow-up care.

Migraine Disability Assessment (MIDAS)

Please answer the following questions about the last 3 months.
Enter the number of days for each item.

1. Days missed from work or school because of headaches

2. Days productivity at work or school was reduced by ≥50% (excluding days missed)

3. Days missed from household work because of headaches

4. Days productivity in household work was reduced by ≥50% (excluding days missed)

5. Days missed from family, social, or leisure activities

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A. Total number of headache days in the last 3 months (not scored)

B. Average headache pain severity (0–10 scale) (not scored)

Calculate MIDAS Score

This questionnaire tool is developed by Dr. Saurabh Kumar. MBBS, MS (ENT)