Headache Questionnaire
What a headache questionnaire asks, with sample questions on headache pattern, triggers, and treatments tried.
A headache questionnaire records how often headaches happen, how they feel, what brings them on, and past treatment before a headache or pain clinic visit. The sample questions are based on the Stony Brook Medicine Headache Questionnaire and the OHSU Headache Center questionnaire.
Headache questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a headache questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample headache questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- How many headaches do you have each month?Headache pattern
- How long does each headache last?Headache pattern
- How would you describe the pain of your headaches?Pain type
- Where are your headaches usually located?Pain type
- Do you know of any trigger for your headaches?Triggers
- Do skipped meals or poor sleep trigger headaches?Triggers
- Which medicines have you tried for your headaches?Treatments tried
- Have you tried acupuncture or physical therapy?Treatments tried
- How many cups of caffeine do you drink?Daily habits
- Do you have difficulty falling asleep?Daily habits
- Does anyone in your family have headaches?Family history
- Which conditions run in your family?Family history
These are examples to read, not a form to fill in.
Headache questionnaire: FAQ
What does a headache questionnaire ask?
The sample questions on this page are based on the Stony Brook Medicine Headache Questionnaire and the OHSU Headache Center questionnaire. This page groups them into six areas: headache pattern, pain type, triggers, treatments tried, daily habits, and family history.
Who answers a headache questionnaire?
The patient. The OHSU form opens with the patient's name, age, and referring physician, then moves to headache history.
Does it ask about medicines tried?
Yes. The Stony Brook Medicine form lists headache medicines, asks the patient to star those that helped, and asks what they take now.
Does it ask about sleep and caffeine?
Yes. The OHSU form asks about bedtime, wake time, trouble falling or staying asleep, and cups of caffeine.
Is there a template for it?
The sample questions on this page show a typical set. Stony Brook Medicine and OHSU each publish their own form.
What happens after a headache questionnaire is completed?
The practice's team sees the answers before the appointment. AI Doctor only collects them and does not name a headache type or suggest treatment.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
