UBRELVY (ubrogepant) CDA & INESSS Survey 2025

Thank you for participating.

Thank you for your interest in participating in this important survey to help improve access to medications to Canada!

Your experience and opinions will help shape our submissions to CDA* and INESSS** for public reimbursement of Ubrelvy.

* Canadian Drug Agency (CDA)

** Institut national d’excellence en santé et en services sociaux (INESSS)

CDA and INESSS conducts objective, rigorous reviews of the clinical and cost effectiveness of drugs, and provides formulary listing recommendations to the publicly funded drug plans across Canada (and INESSS for Quebec).

To help them make their recommendations, both institutions accept input from registered patient organizations, like Migraine Canada & Migraine Quebec.

If you live with migraine, please complete the survey by November 23 @ 11:59 ET, to give us time to prepare the submission by the deadline. Your input will be anonymous. This survey will take approximately 15-20 minutes to complete.

In this survey, you will be asked about:

· Your insights on what it means to live with chronic or episodic migraine

· Your experience with health care for migraine

· Your experience with available acute migraine treatments including first line treatments and medication overuse headache.

- Your experience with issues such as a cap on prescription and ineffectiveness.

· What you would consider is meaningful success (positive outcome)

· Your experience with Ubrelvy (if applicable)

We ask that you answer all the multiple-choice questions and share opening and honestly your personal testimonials in the open-ended questions.

Together, we hope to make migraine treatments accessible so everyone can find the best option available.

Thank you in advance for participating!

The Migraine Canada team

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* 1. What province do you live in?

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland and Labrador

Northwest Territories

Nova Scotia

Nunavut

Ontario

Prince Edward Island

Quebec

Saskatchewan

Yukon

Other (please specify which country you are from)

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* 2. Your age range

18 - 29

30 - 39

40 - 49

50 - 59

60+

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* 3. What is your gender?

Female

Male

Non-binary

Other

I prefer not to say

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* 4. Do you currently live with migraine?

Yes

No, I am a caregiver, parent, loved one, friend of someone who does (if you answering the survey representing someone, please answer the remainder of the questions from their perspective)

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* 5. How many years have you lived with migraine?

Less than 1 year

1 to 5 years

6 to 10 years

11 to 20 years

More than 20 years

Comments (if any)

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* 6. What is the current average monthly frequency of your migraine attacks?

1-6 days/month

7-14 days/month

15 days or more days/month

Comments (if any)

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* 7. Have you been diagnosed with migraine?

Yes- diagnosed with chronic migraine (15+ days/month)

Yes- diagnosed with episodic migraine (14 or less days/month)

I have not been diagnosed

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* 8. Have you noticed an increase of monthly migraine episodes over the years?

Yes- an increase in the number of migraine episodes

No- a decrease in the number of migraine episodes

No changes noticed

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* 9. The impact of migraine on aspects of your life.

	Major Negative Impact	Some Negative Impact	Not Impacted	Don't Know	Not Applicable
How does migraine impact your family life/intimate relationships?	How does migraine impact your family life/intimate relationships? Major Negative Impact	How does migraine impact your family life/intimate relationships? Some Negative Impact	How does migraine impact your family life/intimate relationships? Not Impacted	How does migraine impact your family life/intimate relationships? Don't Know	How does migraine impact your family life/intimate relationships? Not Applicable
How does migraine impact your social life?	How does migraine impact your social life? Major Negative Impact	How does migraine impact your social life? Some Negative Impact	How does migraine impact your social life? Not Impacted	How does migraine impact your social life? Don't Know	How does migraine impact your social life? Not Applicable
How does migraine impact your mental health (anxiety, depression)?	How does migraine impact your mental health (anxiety, depression)? Major Negative Impact	How does migraine impact your mental health (anxiety, depression)? Some Negative Impact	How does migraine impact your mental health (anxiety, depression)? Not Impacted	How does migraine impact your mental health (anxiety, depression)? Don't Know	How does migraine impact your mental health (anxiety, depression)? Not Applicable
How does migraine impact your ability to do household chores?	How does migraine impact your ability to do household chores? Major Negative Impact	How does migraine impact your ability to do household chores? Some Negative Impact	How does migraine impact your ability to do household chores? Not Impacted	How does migraine impact your ability to do household chores? Don't Know	How does migraine impact your ability to do household chores? Not Applicable
How does migraine impact your ability to parent your children how you want to?	How does migraine impact your ability to parent your children how you want to? Major Negative Impact	How does migraine impact your ability to parent your children how you want to? Some Negative Impact	How does migraine impact your ability to parent your children how you want to? Not Impacted	How does migraine impact your ability to parent your children how you want to? Don't Know	How does migraine impact your ability to parent your children how you want to? Not Applicable
How does migraine impact your professional life / work?	How does migraine impact your professional life / work? Major Negative Impact	How does migraine impact your professional life / work? Some Negative Impact	How does migraine impact your professional life / work? Not Impacted	How does migraine impact your professional life / work? Don't Know	How does migraine impact your professional life / work? Not Applicable
How does migraine impact your ability to be in school ?	How does migraine impact your ability to be in school ? Major Negative Impact	How does migraine impact your ability to be in school ? Some Negative Impact	How does migraine impact your ability to be in school ? Not Impacted	How does migraine impact your ability to be in school ? Don't Know	How does migraine impact your ability to be in school ? Not Applicable
How does migraine impact your ability to exercise regularly?	How does migraine impact your ability to exercise regularly? Major Negative Impact	How does migraine impact your ability to exercise regularly? Some Negative Impact	How does migraine impact your ability to exercise regularly? Not Impacted	How does migraine impact your ability to exercise regularly? Don't Know	How does migraine impact your ability to exercise regularly? Not Applicable

UBRELVY (ubrogepant) CDA & INESSS Survey 2025

Thank you for participating.

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* 1. What province do you live in?

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* 2. Your age range

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* 3. What is your gender?

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* 4. Do you currently live with migraine?

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* 5. How many years have you lived with migraine?

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* 6. What is the current average monthly frequency of your migraine attacks?

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* 7. Have you been diagnosed with migraine?

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* 8. Have you noticed an increase of monthly migraine episodes over the years?

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* 9. The impact of migraine on aspects of your life.

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* 10. In your own words, what is the impact of migraine on your overall quality of life?