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* 1. If you would like to subscribe to our free bimonthly newsletter, leave an email address.  Also please take the time to answer a few questions. It helps us determine what issues and topics are important to you. We respect your privacy and do not share email addresses or personal information with third parties.

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* 2. Are you a pain patient, healthcare provider or caregiver for someone in pain?

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* 3. Do you have chronic pain?

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* 4. Are you male or female?

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* 5. What is your age?

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