1. About you
What is your sex or gender? *
Male
Female
Non-binary
Prefer not to say
This question is required.
What is your current age? *
10
11
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89
This question is required.
Country? *
Argentina
Australia
Austria
Belarus
Belgium
Belize
Brazil
Canada
Chile
China
Colombia
Costa Rica
Croatia
Cuba
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
Fiji
Finland
France
Georgia
Germany
Greece
Haiti
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Korea
Latvia
Lebanon
Lithuania
Mexico
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Romania
Russian Federation
Saudi Arabia
Singapore
South Africa
Spain
Sudan
Sweden
Switzerland
Thailand
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Other
This question is required.
State/Province?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
North West Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
This question is required.
3. Testing & vitamin D levels
Did you discuss this regimen with your primary care physician or neurologist? *
Yes
No
This question is required.
Have you had your 25-hydroxyvitamin D3 — 25(OH)D — levels tested? *
Yes
No
This question is required.
If yes, was it before and/or after starting this regimen?
Before
After
Before and after
Not tested
This question is required.
4. Your response to the regimen
Has the anti-inflammatory regimen helped to prevent your cluster headaches? *
Yes
No
This question is required.
If no, are you continuing with this regimen or have you stopped?
Continuing
Stopped
This question is required.
If yes, how many days after starting did it take to see a significant decrease in the frequency or severity of your cluster headaches?
0
1
2
3
4
5
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100-130
131-160
160+
This question is required.
If yes, how many days after starting did it take to experience a pain-free 24-hour period?
0
1
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5
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92
93
94
95
96
97
98
99
100
100-130
131-160
160+
This question is required.
If you experienced a pain-free 24-hour period, have you remained essentially pain-free since?
Yes
No
This question is required.
If you are episodic, when did the reduction occur? Use 1-10, where 1 is the beginning and 10 is the end of your normal cycle.
1
2
3
4
5
6
7
8
9
10
This question is required.
5. Side effects & other treatment
Have you noticed any adverse or negative side effects from this regimen? *
Yes
No
This question is required.
If yes, which ingredient (if known) and what was the adverse effect?
This question is required.
Have you noticed any positive or beneficial side effects from this regimen? *
Yes
No
This question is required.
If yes, what are they?
This question is required.
List other cluster headache medications you were taking while on this regimen. Only include those for cluster headache treatment.
This question is required.
Are you being treated for any other medical conditions? *
Yes
No
This question is required.
List those other conditions and the medications you take for them. Do not include cluster headache medications.
This question is required.
