MIGLEV Eligibility Form Register HERE now to help with this study! Find out if you can register your interest for this study by clicking YES or NO on the 6 questions below (simply answer a question to see the next one). If you’re a suitable match the Registration Form appears after question 6. 1. Are you a male or female aged 18 years and older?*YesNo2. Are you currently experiencing 1 or more migraines every 2 months?*YesNo3. Are you currently taking daily migraine prevention medication?*YesNo4. Do you smoke or take recreational drugs?*YesNo5. Are you pregnant or lactating?*YesNo6. Are you prepared to commit a study of up to 4 months, where you will be required to record up to 4 migraine episodes. At each episode, you will record your pain scale up to a maximum of 8 hours?*YesNoOh no! We're sorry it looks like you are not eligible for this particular trial. If you have any questions please email [email protected] Before you go! If you would like to join our mailing list to find out about future Clinical Trials, please click the below button. Register Interest HereContact InformationCongratulations, you meet our initial screening criteria. Please fill in some basic details and our Study Investigator will be in touch to complete the screening process for your final eligibility.Name* First Last Date of Birth Date Format: DD slash MM slash YYYY GenderMaleFemalePhone*Email* Post Code*Where did you hear about this study?*Please selectUSQUniversity of QLDFacebookRDC NewsletterVillage NewsFriend/FamilyOtherStudyTitleforLead*Personal Information Collection Notice The personal information you provide when submitting this Eligibility Form will be used for the purpose of contacting you in relation to participating in our Clinical Studies. You may opt-out from receiving further communication from us at any time by phone or email.