Migraine Severity and Burden Checker

Answer 6 questions to organize attack intensity, duration, frequency, symptoms, and functional burden

Updated April 4, 20266 questions~2 minutesEducational summary

How to use this checker

Answer each domain based on your usual migraine or headache pattern. This tool summarizes burden across domains, but it does not produce a validated clinical score.

What this tool is for

Use it to organize symptom burden and frequency before a visit or before starting more formal tracking. Use HIT-6 or MIDAS when you need a validated measure.

0 of 6 domains answered
1
Attack intensity

How would you rate your headache pain intensity at its worst?

2
Attack duration

How long does your typical untreated or unsuccessfully treated attack last?

3
Monthly frequency

How many headache days do you usually have in a typical month?

4
Nausea or vomiting

How much nausea or vomiting do you get with attacks?

5
Light or sound sensitivity

How sensitive are you to light and/or sound during attacks?

6
Functional interference

How much do headaches disrupt work, home tasks, study, or social life?

Recent saved burden summaries

Saved burden summaries are synced to your account and also appear in your dashboard.

0
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What This Checker Is For

Migraine severity varies significantly between individuals and even between attacks for the same person. People often want one simple answer to “how bad are my migraines?”, but in practice clinicians look across several dimensions: attack intensity, duration, monthly frequency, associated symptoms, and how much normal life is interrupted.

This checker summarizes those domains in one place. It is intentionally not presented as a validated score. If you need a standardized measure, use HIT-6 or MIDAS alongside it.

Clinical Note

When to See a Doctor About Headache Severity

Seek medical attention if you experience any of the following:

  • A new, sudden, severe headache unlike any previous headache
  • Headaches that progressively worsen over weeks or months
  • Headaches accompanied by fever, stiff neck, confusion, or vision changes
  • Headaches that significantly interfere with work, sleep, or daily activities
  • Needing pain medication more than twice a week

Related Migraine Assessment Tools

Frequently Asked Questions

Is this calculator a validated clinical tool?

No. It is an educational burden summary, not a validated clinical score. For standardized measurement, use the MIDAS or HIT-6 questionnaires as well.

How is migraine severity different from headache frequency?

Severity measures the intensity, symptoms, and functional impact of individual attacks. Frequency measures how often attacks occur. Both are important — you can have infrequent but severely disabling attacks, or frequent mild ones.

What does a chronic-range frequency flag mean?

Reporting 15 or more headache days per month is a chronic-range frequency flag that deserves clinician review. It does not diagnose chronic migraine by itself.

Medical Disclaimer: This route provides an educational burden summary and does not replace clinical evaluation. It should be interpreted alongside a diary, validated tools such as HIT-6 or MIDAS, and discussion with a healthcare professional.

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References

  1. Headache Classification Committee of the IHS (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 38(1):1-211.Link
  2. Ailani J, Burch RC, Robbins MS (2021). The American Headache Society consensus statement: update on integrating new migraine treatments into clinical practice. Headache. 61(7):1021-1039.Link
  3. Ashina M (2020). Migraine. New England Journal of Medicine. 383:1866-1876.Link