Please answer each of the following questions by clicking the YES or NO button.
Are you between the ages of 18 and 65?
Yes
No
Do you suffer or have you been diagnosed with migraine headaches with aura?
Yes
No
Was your first migraine experienced before 50 years of age?
Yes
No
Have your migraine headaches been unresponsive to 2 or more different preventive headache medications?
Yes
No
Have you ever been diagnosed with a stroke?
Yes
No
Are you currently required to take aspirin daily for heart disease?
Yes
No
