Taking Part in the Pain Survey

 
 

To take part in the pain survey, click the following:

Answer Pain Survey

 

You will see the following pages in turn:

 

·        Informed Consent Form: You must accept this to take part in the study.

 

·        Study Qualification Form: This confirms you are eligible for this chronic pain study.

 

·        Pain Drawing Page: Please indicate on the diagram of the human body where you feel pain.

 

·        Additional Questions: These questions ask about:

 

·         Body areas where you feel pain.

·         Severity and duration of your pain.

·         Which pain is most troublesome to you (if you have pains in several different parts of the body).

·         Symptoms associated with your most troublesome pain.

·         Limitation of daily activities caused by your most troublesome pain.

·         Email address (to send your Personal Pain Report).

·         Age, Gender, Name, Mailing Address. (You don’t have to provide these, but they will help us to interpret the study results. We take all legal means to protect your confidentiality and prevent unsolicited contacts.)

 

To return to the More Information page, click:

More Information

 

 
 
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