Sweet View Migraine Assessment – Sweet View Optical

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Sweet View Migraine Assessment

This assessment helps us understand how light sensitivity may be affecting your migraines, daily function, and visual comfort.

Your responses guide us in determining whether specialized light-filtering solutions may be appropriate for you.

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Symptom Snapshot

How many days per month do you suffer from migraine attacks? *

How often does your migraine impact your productivity or ability to work/stay on task? *

How often do migraines impact personal plans; your ability to spend time with children, family or friends; or, ability to complete daily tasks? *

How would you rate the impact of migraines on your ability to function during an attack? *

Do you experience visual aura (flashing lights, zig-zag lines, shimmering spots) before or during an attack? *

Yes
No

During an attack, how long (in hours) do your head-pain and light sensitivity usually last? *

What parts of your life feel most disrupted when light sensitivity flares up? Select all that apply.

Work
Parenting
Driving
Errands
Social plans
Screen use
Sleep/recovery
Overall daily function

Light-Specific Triggers & Environments

Do you experience light sensitivity or spend time in a dark room during your migraine attacks? *

Yes
No

Are bright overhead lights, LEDs, computer or TV screens a known migraine trigger for you? *

Yes
No

Which sources bother you most? (select all that apply) *

Sunlight
Fluorescent or LED office lights
Car headlights
Phone/computer/tablet screens

Do you find night-mode or blue-light “warm” settings on devices still uncomfortable? *

Yes
No

Do you avoid certain aisles in big-box stores or supermarkets because of the lighting? *

Yes
No

When driving at night, do on-coming headlights trigger or worsen your migraine? *

How quickly does bright light make your symptoms flare—within seconds, minutes, or only after prolonged exposure? *

On a 0–10 scale, how intense is the light sensitivity itself (not the migraine) at its worst? *

What is most frustrating about how light affects you right now?

Screen Time & Visual Demands

Average hours per day on screens (work + leisure): *

Is your main job or hobby screen-heavy (designer, gamer, data analyst, etc.)? *

Yes
No

would does settings

Do you ever dim your monitor/phone to the lowest setting and still squint? *

Yes
No

Coping Strategies You Already Use

What Treatments Have You Tried to Find Relief? (select all that apply) *

Acupuncture/Chiropractor Visit
Massage
Botox Injections
Prescription Medication
Nerve Stimulation
Urgent Care Visit
Emergency Room Visit

What Other Non-Drug Solutions Are Your Go-To for Relief? (select all that apply) *

Cold or Warm Packs
Dark Room/Avoiding Triggers
Diet/Nutrition Modification
Drinking Caffeine/Water
OTC Medication/Vitamins
Sleep
Stress Management

Do you currently wear sunglasses indoors to cope with attacks? *

Have you tried rose, FL-41, or other colored tints? *

Treatment Journey & Goals

How satisfied are you with your current migraine medications, treatments, or therapies? *

What’s your top goal?

If things improved, what would matter most to you?

How open are you to exploring a non-drug tool that may help reduce light-triggered symptoms? *

Current Eyewear

Do you wear prescription glasses or contacts? *

Are you open to wearing specialty glasses full-time, or would you prefer fit-overs/clip-ons you can slip on only during attacks? *

Email *

Name *

First

Last

Phone *

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