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Thank you for taking the time to respond to this anonymous questionnaire.

CPN will use all of the input we receive to inform our submission to a national consultation being led by the Canadian Pain Task Force to help the Government of Canada better understand and address the needs of the millions of Canadians who live with pain.

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* 1. How has pain affected your life?

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* 2. Please describe the pain you have experienced and/or are experiencing.

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* 3. What challenges have you faced?

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* 4. What has helped you the most?

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* 5. What statement best describes you:

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* 6. May CPN use quotes from your answers in our submission to the Canadian Pain Task Force? No identifying information will be attached to any quotes that we use.

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* 7. What province do you live in?

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