Pediatric Migraine Disability Assessment (PedMIDAS) Questionnaire
Directions
• Complete questions 1 – 6 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 – 6. (Do not include your answers to A and B in this total)
• Answer questions A and B.
Pediatric MIDAS Questionnaire
1. How many full school days of school were missed in the last 3 months due to
headache?
2. How many partial days of school were missed in the last 3 months due to
headache? (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 function at less than half your
ability in school because of headache? (Do not include days counted in the
first two questions)
4. How many days were you not able to do things at home (i.e. chores,
homework, etc.) due to a headache?
5. How many days did you not participate in other activities due to headache
(i.e. play, go out, sports, etc.)?
6. How many days did you participate in these activities but function at less
than half your ability? (Do not include days counted in 5th question)
PedMIDAS Score (Add the total number of days from questions 1 – 6)

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 – 10): Little or no disability
Grade II (11– 30): Mild disability
Grade III (31 – 50): Moderate disability
Grade IV (greater than 50): Severe disability