Headache Impact Test (HIT-6) Scoring Demonstration

Your Health and Well-Being

This questionnaire is designed to help you describe and communicate the way you feel and what you cannot do because of headaches. To complete, please select one answer for each question.

1. When you have headaches, how often is the pain severe?

Never	Rarely	Sometimes	Often	Very Often

2. How often do headaches limit your ability to do usual daily activities including household work, work, school, or social activities?

Never	Rarely	Sometimes	Often	Very Often

3. When you have a headache, how often do you wish you could lie down?

Never	Rarely	Sometimes	Often	Very Often

4. In the past 4 weeks, how often have you felt too tired to do work or daily activities because of your headaches?

Never	Rarely	Sometimes	Often	Very Often

5. In the past 4 weeks, how often have you felt fed up or irritated because of your headaches?

Never	Rarely	Sometimes	Often	Very Often

6. In the past 4 weeks, how often did headaches limit your ability to concentrate on work or daily activities?

Never	Rarely	Sometimes	Often	Very Often