Please answer the questions below so we can
determine if you are a possible candidate for participation in the ESCAPE
Migraine Clinical Trial. If you are eligible based on the following questions,
we will connect you with one of the ESCAPE trial physician investigators to
further discuss the trial.
Note: The ESCAPE Migraine Clinical Trial is only conducted in the United
States, excluding Hawaii and Alaska.
*
Required Entry
How old are you?
*
How long have you had migraines? *
How many migraines a month do you usually have?
*
Who primarily manages your migraines?
*
Have you taken preventative medications for your migraines?*
Do you have permanent effects from a previous stroke?
*
Do you have severe heart failure? *
Are you undergoing dialysis treatment?
*
Do you have an implanted pacemaker or defibrillator?
*
Do you have seizures? *
How did you hear about the ESCAPE Migraine Clinical Trial or
Web site? (Check all that apply) *
