3 Week Chronic Migraine Self-Management Course

THURLES, Co. Tipperary

Thursday 2nd, 9th & 16th May 2019 

This course focuses on the emotional impact of living with a chronic condition. The course aims to promote self-management tools and pain-management strategies for people with a diagnosis of Chronic Migraine/New Daily Persistent Headache.
 
This survey is for recruitment purposes only. Your data will not be used in any other way and will be destroyed once the recruitment process has concluded, unless you authorise the Migraine Association of Ireland to retain your information on our databases and mailing lists.
 
PLEASE NOTE: You need to be available to attend all 3 evenings of the course.
 

COMPLETION OF THIS SURVEY DOES NOT GUARANTEE A PLACE ON THE COURSE.

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* 1. Please select where you wish to attend the course.

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* 2. For how many years have you had migraine?

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* 3. For how many years have you been engaged with health services (GPs, neurologists etc) with regards to your migraine?

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* 4. How many days per month do you have pain related to migraine?

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* 5. What medication/treatments have you previously tried/are currently taking for your migraine?

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* 6. On a scale of 1-10, how have your migraines/headaches affected your overall quality of life?
(1 being ‘little effect’ and 10 being ‘completely disabling’)

1 - Little effect 10 - Completely disabling
i We adjusted the number you entered based on the slider’s scale.

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* 7. How much do you agree with this statement: ‘Living with migraine has a negative impact on my mental health.’
(1 being ‘Completely disagree’ and 10 being ‘Fully agree’)

1 - Completely disagree 10 - Fully agree
i We adjusted the number you entered based on the slider’s scale.

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* 8. Are you willing to address the emotional impact of living with chronic pain?

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* 9. We will need to contact you to discuss the course in more detail. Please indicate your consent to being contacted by MAI below.

Thank you for completing this survey.

A staff member from MAI with contact you shortly to discuss your suitability for this course.

If you answered NO to Q.9 and do not wish to be contacted by MAI, we cannot offer you a place on the course and we will delete your information from our database in 10 working days, as per our organisation's GDPR policy.
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