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* 1. Please provide the folowing information:

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* 2. Do you currently see a physician for migraines?

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* 3. How many days per month do you suffer from migraine headaches?

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* 4. Are you currently satisfied with your prescription medications for migraines?

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* 5. What modifications have you made to your diet or daily activities to prevent migraines?

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* 6. Which, if any, over-the-counter supplements do you take for migraines?

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* 7. Would you consider taking an all-natural supplement everyday to prevent migraines? Would you try the supplement even if you did not see results in the first 4 weeks?

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* 8. What formulation(s) would you be MOST likely to take an oral supplement everyday to prevent migraines? (mutiple answers are allowed)

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* 9. Which of the following results from taking a migraine supplement is MOST important to you?

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* 10. What barriers would prevent you from taking a migraine supplement on a daily basis?

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