Research projects mailing list

First Name
Last Name
Year of birth
Email*
Phone number (optional)
Language understood and spoken
What biological sex were you assigned at birth?
How do you identify yourself in terms of gender?
What region do you live in?
In the case of projects that require one or more visits to a researcher's laboratory, can you come to:

YOUR MAIN PAIN
What is the location of your main pain?
What is the cause of this pain?
To choose more than one answer, click in the drop-down menu as many times as necessary.
Since when do you suffer from it?
Please select the number that best describes your pain during the past 7 days, on a scale from 0 (no pain) to 10 (worst pain I can imagine).
What are you currently using for the treatment of your pain?
To choose more than one answer, click in the drop-down menu as many times as necessary.
YOUR SECONDARY PAIN
What is the location of your secondary pain?
What is the cause of this pain?
To choose more than one answer, click in the drop-down menu as many times as necessary.
Since when do you suffer from it?
Please select the number that best describes your pain during the past 7 days, on a scale from 0 (no pain) to 10 (worst pain I can imagine).
What are you currently using for the treatment of your pain?
To choose more than one answer, click in the drop-down menu as many times as necessary.
OTHER PAIN
Do you have other pain?
To choose more than one answer, click in the drop-down menu as many times as necessary.

YOUR MAIN PAIN