Purpose: The MSAS measures your current migraine symptoms, habits, knowledge, and confidence. You’ll complete it now (Day 1) and again at the end of the 14-day challenge (Day 14).

How to Answer: Read each question carefully and select the number or choice that best reflects your experience over the last two weeks. Be honest—there are no right or wrong answers.

After Completion: Keep your scores handy. Comparing your answers from Day 1 and Day 14 will show how your habits and migraine management have improved.

Full Name *

Date of birth

Email *

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Section A: Migraine Frequency & Severity

1. How many migraine attacks have you experienced in the past month? *

2. On average, how severe were your migraines on a scale from 1–10? (1 is little to no pain, 10 is severe pain) *

Section B: Knowledge & Understanding

Rate your level of agreement (1-10) to the following statements

3. "I feel I understand the main triggers for my migraines (e.g., stress, certain foods, sleep, hormones)." 1 = No idea, 10 = I know my triggers perfectly. *

4. "I know the general reasons migraines happen and how they differ from typical headaches (e.g., neurological factors, vascular changes, inflammation, etc)." 1=No idea, 10=I know all there is to know. *

5. “I know which steps I should take or habits help reduce migraines and their severity (e.g., hydration, dietary choices, stress management, sleep hygiene).” 1=No idea, 10=I am doing every single thing perfectly. *

Section C: Lifestyle & Habits

6. How would you rate your daily stress level over the past two weeks (1 = Very low, 10 = Extremely high).

7. How would you rate your sleep quality over the past two weeks? (1 = Very poor, 10 = Excellent). *

8. How would you rate your daily nutrition and hydration habits? (1 = Very poor, 10 = Excellent) *

Section D: Exercise & Movement Confidence

9. “I feel confident that I can include regular physical activity (e.g., resistance training, endurance training, stretches, being generally active, etc.) without worsening or triggering migraines.” *

10. How consistently have you engaged in physical activity over the past two weeks? (1 = Not at all, 10 = Daily or almost daily). *

Section E: Control & Confidence

11. How in-control do you feel when it comes to preventing or managing migraines? (1 = No control, 10 = Complete control). *

12. How confident are you that you can keep up (or increase) these healthy habits to help manage or reduce migraines in the future? (1 = Not confident, 10 = Extremely confident). *

13. How prepared do you feel to make lasting changes to your habits and life-style? (1 = Not ready at all, 10 = Ready to start now!) *

SURVEY COMPLETE!

Thank you for taking the time to complete this survey. The MSAS is a helpful way to more objectively assess your change and confidence over time! Keep your score or screenshot this page to reference later on!

Migraine Self-Assessment Score (0-100)

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