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Headache Needs Assessment Survey (HANA)
Please email the authors for information about obtaining the instrument:
Supplemental for Headache
Short Description of Instrument

The Headache Needs Assessment Survey (HANA) is a brief, self-administered questionnaire that assesses two dimensions of the impact of migraine: frequency and bothersomeness. This instrument has seven questions with the corresponding subscales: Anxiety/Worry, Depression/Discouragement, Self- control, Energy, function/Work, Family/Social Activities, and Overall Impact. For each item, the respondent provides data on both frequency and bothersomeness.

Psychometric Properties

The HANA has good internal consistency, reliability, construct validity and responsiveness. The HANA has demonstrated good test-retest reliability (.77) and internal consistency (.92). There is statistically significant correlation between HANA and Headache Disability Inventory total scores and high correlations with disease and treatment characteristics.


Scoring for the HANA is the product of the item scores that resulted from seven weighted problem scores. These scores are summed to yield a total score (range, 7 to 175).

Cramer, J, Silberstein, S, Winner, P. 2001. Development and Validation of the Headache Needs Assessment (HANA) Survey.
Turk, D, Melzack, R. Handbook of Pain Assessment. 3rd Edition. Assessment of Headaches. Chapter 18. Pg 362.


Document last updated March 2018