|
| | Before | After |
|
| (1) Did it avoid you leaving the house? | 4 | 1 |
| (2) Did it avoid making plans due to unpredictability of CH e.g. holidays? | 5 | 1 |
| (3) Did you feel unable to complete duties at work? | 4 | 1 |
| (4) Did you have difficulty in getting involved in leisure activities e.g. cinema, theatre, etc? | 4 | 1 |
| (5) Did you avoid crowded and noisy places e.g., public transport, pubs, etc? | 5 | 1 |
| (6) Did you feel that the severity of cluster headache affected your daily activities? | 5 | 1 |
| (7) Have you been less involved in family affairs e.g. interactions with children, planning holidays? | 4 | 1 |
| (8) Have you been unable to socialize/spend time with friends and family? | 4 | 1 |
| (9) Have you been unable to achieve your daily goals and carry out routines and chores? | 4 | 1 |
| (10) Did you feel less respected by others? | 3 | 1 |
| (11) Did you have problem with close personal relationships? | 3 | 1 |
| (12) Did you feel you were burden for family and friends? | 3 | 1 |
| (13) Did you feel self-conscious and uncomfortable about your appearance after a cluster headache attack (e.g. swelling redness of eyes and facial sweating, etc)? | 4 | 1 |
| (14) Did you feel that others are dismissive of your cluster headache? | 3 | 1 |
| (15) Did you feel aggressive? | 3 | 1 |
| (16) Did you feel bad about yourself, lose self-confidence or feel worthless? | 2 | 1 |
| (17) Did you feel like harming yourself or suicidal? | 2 | 1 |
| (18) Have you been irritable, impatient or less tolerant? | 3 | 1 |
| (19) Have you been forgetful e.g., missed appointments? | 4 | 1 |
| (20) Have you been unable to take care of your appearance (e.g. take a bath, put make-up on, change clothe etc)? | 3 | 1 |
| (21) Did you feel isolated, lonely or vulnerable? | 3 | 1 |
| (22) Did you find your pain is unbearable if untreated? | 5 | 1 |
| (23) Did you dread that the headache would not go away? | 5 | 1 |
| (24) Did you feel lacking in energy and constantly tired? | 4 | 1 |
| (25) Did you feel sleepy, worn out or less able to concentrate due to nocturnal attacks of CH? | 5 | 1 |
| (26) Did you have problems concentrating e.g., reading paper, watching TV, etc.? | 5 | 1 |
| (27) Have you been unable to think clearly? | 4 | 1 |
| (28) Did you feel tense or anxious? | 4 | 1 |
| Total score: …/140 | 107 | 28 |
|
