This survey is designed to identify pain conditions that often occur together in the same individual.

  • The first part of the survey presents a body map and asks you to indicate the locations where you experience pain.
  • Based upon where you indicate the presence of pain, additional questions about symptoms will be asked to help identify the type of pain condition(s) that you are experiencing in each location. You may be asked about more than one condition even if you have pain in only one area of the body.

Please complete this survey on your own in a quiet location. Depending on your answers the survey should take 10-30 minutes to complete. Thank you.

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