Questionnaire
We want to make sure gammaCore is appropriate for you to use, as their are some situations when it may not be suitable. We’re going to ask questions about your medical history and symptoms. Your answers will help us assess your suitability for gammaCore related specifically to the device.
This questionnaire will not provide you with a diagnosis. Please visit your family doctor or another qualified healthcare professional to confirm your headache diagnosis and to rule out any other underlying medical conditions before completing this questionnaire. electroCore maintains that it is the sole responsibility of the users of gammaCore to read the Important Safety Information on this site and to confirm an appropriate diagnosis.
You may be contacted by one of our Healthcare Professionals to clarify some of your answers and suitability for gammaCore if necessary.
By agreeing you accept our Terms Of Use, Terms Of Supply and Privacy Policy.
Please read the following and confirm you meet all the criteria:
- I am aged over 18
- I currently live in the UK
- I will be the only user of my gammaCore device
- I confirm all answers will be provided honestly and truthfully
- I understand that a Healthcare Professional may contact me to discuss my suitability to use gammaCore
Have you previously been diagnosed with Migraine or Cluster Headache?
Use of gammaCore requires a suitably qualified healthcare professional to have previously diagnosed you with migraine.
For more information about gammaCore please visit our main site, gammaCore.co.uk. To stay updated with all things gammaCore, register your details below.
Who diagnosed you with Migraine or Cluster Headache?
For information, please read
gammaCore is contra-indicated in people who have an active implanted electronic device such as a pacemaker or hearing aid
For more information about gammaCore and it’s uses please visit our main site
Do you have an active implanted electronic device?
gammaCore is contra-indicated in people who have an active implanted electronic device such as a pacemaker or hearing aid
gammaCore is contra-indicated in people who have an active implanted pacemaker device or hearing aid
For more information about gammaCore please visit our main site, gammaCore.co.uk. To stay updated with all things gammaCore, register your details below.
For information, please read
gammaCore is contra-indicated in people who have a metallic bone plate, screw or stent in the neck area
For more information about gammaCore and it’s uses please visit our main site
Please review this Important Safety Information
- gammaCore should not be used at the same time as using another device such as a TENS unit or muscle stimulator
- gammaCore should not be used at the same time as using any portable electronic device (e.g., mobile phone)
The safety and efficacy of gammaCore have not been evaluated in the following patients or situations.
For more information please contact us at customerserviceuk@electrocore.com
- Patients diagnosed with severe narrowing of the arteries
- Patients who have had surgery to cut the vagus nerve in the neck
- Pregnant women
- Patients who have clinically significant high or low blood pressure or a slow or fast heart rate
- Patients with a history of heart disease, fatty arteries of the heart or a heart attack in the last 5 years
- Patients with an abnormal ECG or irregular heart beat
- Patients with active cancer or cancer in remission
- Patients with a history of fainting or seizures
- Patients with abnormal anatomy of the neck
- Patients with a history of brain tumor or bleed or head trauma
- Patients with a metallic device such as a stent, bone plate or bone screw implanted at or near their neck
Please read these statements
- I will read the Instructions For Use and Important Safety Information before using gammaCore
- I have answered the questions honestly and truthfully and will contact customerserviceuk@electrocore.com if there are any changes to my medical condition in relation to the safe use of gammaCore