Migraine Disability Assessment (MIDAS) Questionnaire
Directions
• Complete questions 1 – 5 for ALL of your headaches during the last 3 months. Write 0 if you did not experience that activity in the last 3 months.
• Add up the answers to questions 1 – 5. (Do not include your answers to A and B in this total)
• Answer questions A and B.
MIDAS Questionnaire
1. How many days in the last 3 months did you miss work or school because of
your headaches?
2. How many days in the last 3 months was your productivity at work or school
reduced by half or more because of headaches? (Do not include days you
counted in question 1 where you missed work or school)
3. How many days in the last 3 months did you NOT do housework because of
your headaches?
4. How many days in the last 3 months was your productivity in household
work reduced by half or more because of your headaches? (Do not include
days you counted in question 3 where you did not do household work)
5. How many days in the last e months did you miss family, social, or leisure
activities because of your headaches?
MIDAS Score (Add the total number of days from questions 1 – 5)

Total:

A. How many days in the last 3 months did you have headache? (If
headache lasted more than 1 day, count each day)
B. On a scale of 0 – 10, on average how painful were these headaches?
(Where 0 = no pain and 10 = pain as bad as it can be)
 

Scoring
Grade I (0 – 5): Little or no disability
Grade II (6 – 10): Mild disability
Grade III (11 – 20): Moderate disability
Grade IV (greater than 20): Severe disability