Thank you for your interest in participating in our research study! The purpose of this study is to examine the effect of chronic pain and pain medication on brain function.

The following survey will allow us to determine whether you are eligible to participate. Please read the information sheet to learn about the purpose of this survey, how we plan to use your information, and how you can contact us or reach an independent contact. You may also print the information sheet for your records.

Some important points before you begin:

  • Please complete this survey in one sitting. It should take approximately 15 minutes.
  • Please have your current and previous medication records handy.
  • It is extremely important for our research that you answer every question truthfully.
  • Please rest assured that your information will be held safely & securely and will not be shared with any third party.

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