The Purpose |
It is clear from recent discussions on the Acoustic Neuroma Support mailing list that many members suffer from headaches, which have a profound effect of their lives. You are invited to answer this questionnaire. Shared experience can help us find solutions. Results will be sent by email to all who participate and the results will be discussed on the mailinglist. You can see a summary of responses on the headaches survey analysis page. Individual participants will not be identified in any way. |
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About yourself |
| Your email address: |
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| Gender? |
male
female
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| Age group? |
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About your Acoustic Neuroma |
| Which side is your AN? |
left
right
both
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| Approximate size of your AN? |
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About your AN treatment |
| Which type of AN treatment did you choose? |
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| If treated, what date? |
Month (MM)
Year (YYYY)
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About your Headaches |
| Have headaches been a problem for you, now or in the past? (If you answer "never" none of the following questions apply to you.) |
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Are they, or were they? |
mild
severe
very severe
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How would you describe your headaches in a few words? |
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Do they, or did they, affect your ability to? |
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In your opinion, what was the cause? |
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Did your doctor appreciate the distress caused by the headaches? |
yes
no
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Did you suffer from headaches before AN treatment? |
yes
no
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If so, were they a factor in the discovery of your AN? |
yes
no
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How did AN treatment affect your headaches? |
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Treatment of headaches |
Have you found effective remedies for your headaches? Select more than one choice if necessary by holding down the Ctrl key.) |
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Comments |
| Add any comments here if you wish. In particular, if you have listed any effective remedies, please give as many details as possible, including name of any medication, degree of relief, advice to others... Also please comment on the perceived cause of your headaches if applicable. |
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You will receive an email confirmation of your answers. You can change them later if you need to.
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