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Migraine at work conversation toolkit

Build a calm, specific conversation sheet around what makes work harder and which changes you want to discuss. It is not a legal form or guarantee of accommodation.

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What you get
  • Personalized PDF
  • Blank workplace worksheet PDF

Your entries stay on this device.

PurposeWork and school
Formatinteractive + PDF
CostFree, no sign-up
UpdatedAugust 16, 2026

Stays on this device

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01Describe the work barrier

Focus on the job situation rather than proving how unwell you are.

Work situations that become difficult during an attack
02Prepare the conversation

Ask to discuss options; do not promise a particular outcome.

Changes I would like to discuss

Prefer pen and paper?

Start with a blank, spacious worksheet.

The printable version uses US Letter paper, selectable text, generous writing space, and the same prompts as the private builder.

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Why this exists

Describe the work barrier before discussing a change.

A useful workplace conversation connects a specific situation to a specific task. This plan helps you describe that connection, select changes worth discussing, and agree on how the result could be reviewed.

How to use it

  1. Complete only the prompts that matter to your situation. Unknown or forgotten details can stay blank.
  2. Watch the live PDF preview update as you enter information.
  3. Download or print that exact PDF, or use the blank worksheet by hand.
  4. Review the result before sharing it. Remove anything you do not want another person to see.

A realistic way to use it

A screen-heavy role might pair “long screen sessions” with the task that becomes difficult, request a discussion about screen breaks or lighting, and set a date to review whether the change helped.

What the output means

The output is a conversation plan, not a legal request, medical certification, or promise that a workplace will approve a particular adjustment.

Privacy by construction

The form works in browser memory. Calmraine does not receive the names, symptoms, treatments, cycle dates, workplace notes, contact details, or other text entered here. Analytics can record that someone started or exported the tool, but never the field values. Reloading or clearing the form removes the current entries.

Methodology and sources

The worksheet follows barrier → task impact → option to discuss → review date. It was informed by practical workplace resources from Migraine at Work and The Migraine Trust, then written independently for a US-first audience.

  1. ResourcesMigraine at Work · Accessed August 16, 2026
  2. Managing migraine at workThe Migraine Trust · Accessed August 16, 2026

If a headache or neurological symptom feels new, sudden, severe, or unsafe, use appropriate urgent medical care instead of waiting to finish a worksheet.