HIT-6™ Headache Impact Test (Self-care)

HIT-6 Headache Impact Test
Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Do you have headache more than 3 months?

YesNo
HIT is a tool used to measure the impact headaches have on your ability to function on the job, at school, at home and in social situations. Your score shows you the effect that headaches have on normal daily life and your ability to function.
When you have headaches, how often is the pain severe?

NeverRarelySometimesVery oftenAlways
How often do headaches limit your ability to do usual daily activities including householdwork, work, school, or social activities?

NeverRarelySometimesVery oftenAlways
When you have a headache, how often do you wish you could lie down?

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

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

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

NeverRarelySometimesVery oftenAlways
Calculation
Hit-6 score interpretation

Little or no impact: 49 or less
Some impact: 50–55
Substantial impact: 56–59
Severe impact: 60-78
If you qualify for the selfcare program for Headache, are you willing to fill out the questionnaire for the selfcare research? It will take less than 3 minutes.

YesNo
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HIT-6 Headache Impact Test