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The Mental Detox
Living with Migraine
First Name
Email
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How Often do you experience Migraine attacks?*
4+ times per week
1-3 times per week
Fewer than 4 times per month
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How long have you been experiencing your migraine?*
Less than a 1 year
1-5 years
More than 5 years
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Has a doctor diagnosed you with migraine before?*
Yes
No
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Do you take any of these Migraine Medication?
Fioricet
Butalbital
Other
Which other Medication do you take?
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Now that we have a bit of your migraine history, how would you like us to help you further ?
I'd like to renew my prescription with Extra Discount
I need a new prescription
I want to explore more migraine related Gadgets
I want to explore more Migraine related blogs
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Check New Migraine Gadgets
Migraine Blogs
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I want someone to call me for more help
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