HOW TO PREPARE:

  1. Answer the following questions, then print or email the results to yourself so you can share them with your healthcare provider at your next appointment.
  2. By sharing your experience with migraine attacks, you can have a productive conversation with your healthcare provider about finding a solution that works for you.

 

You’re almost done.

There are just a few questions left. Answering the remaining questions can help you get the most out of your next conversation with your healthcare provider. If you don’t have time, you can get your results right now.

Question 1

About how many times per month do you experience a migraine attack?

You are not alone.

Migraine impacts 39 million people in the United States. Talk with your healthcare provider about preventing your migraine attacks.

Question 2

Which areas of your life are most impacted by migraine attacks?

Choose all that apply.

No selection is made:Please make a selection.

Migraine affects everyone differently.

Sharing your migraine experience with your healthcare provider is important to help you find a treatment that works for you.

Question 3

Can you tolerate your migraine attacks and go about your daily activities?

Is it time to reconsider your options?

Tell your healthcare provider if you can’t tolerate your migraine attacks and ask if QULIPTA is right for you.

Question 4

How many treatment options, both prescription and over the counter, have you tried at this point?

Could QULIPTA be right for you?

QULIPTA is a pill that can help prevent migraine attacks. Ask your healthcare provider if QULIPTA is right for you.

Question 5

Are you satisfied with the treatment options you have tried so far?

Considering Qulipta

Ask your healthcare provider about QULIPTA, a pill specifically designed to prevent migraine attacks.

Question 6

Would you prefer to use oral medication or an injection for your migraine attacks?

Is it time to consider a pill option?

Ask your healthcare provider about QULIPTA.

Question 7

What type of medical insurance do you have (if any)?

QULIPTA Complete is here to help.

Commercially insured patients who are eligible could pay $0 a month by signing up for a QULIPTA Complete Savings Card.

YOUR ANSWERS ARE:

I experience migraine attacks about  you have chosen not to answer the question.

My migraine attacks impact  you have chosen not to answer the question.

My migraine attacks: you have chosen not to answer the question.

I experience migraine attacks about  you have chosen not to answer the question.

My migraine attacks impact  you have chosen not to answer the question.

My migraine attacks: you have chosen not to answer the question.

I've tried you have chosen not to answer the question treatment options at this point

My satisfaction with my previous or current treatment plan is  you have chosen not to answer the question.

  you have chosen not to answer the question.

I'M READY TO TALK TO MY HEALTHCARE PROVIDER ABOUT QULIPTA

QULIPTA is a pill:

Get right to work to prevent migraine attacks

Keeps migraine attacks away over time

In a 3-month study, QULIPTA significantly reduced monthly migraine days.

SAVE AND SHARE YOUR RESULTS WITH YOUR HEALTHCARE PROVIDER

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