International Daith Piercing Survey V3 (3-4-18)

 
 
All parts of this questionnaire are strictly confidential and will be considered as part of your medical record.
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1. Introduction to our International Daith Piercing Survey Version 3

 

1.
This survey is part of our continuing medical research, the first ever undertaken, about how a Daith Piercing has affected your migraines.

Your responses are important
They will help us to learn more about how Daith Piercing works 

Filling in the questionnaire will take about 15-25 minutes to complete. The questions go in-depth about your migraines
 but are simple to answer. 
Please choose a quiet time with no interruptions because the survey must be completed in one go
 
Your contact information and all responses to this medical questionnaire, including any sensitive health information you provide, will be part of your confidential medical record.
They will remain private and confidential at all times
 
 
You can take part anonymously if you prefer 

Dr Chris Blatchley MB BChir
London Migraine Clinic
[email protected]
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