National Pain Report Readers Survey April 2015 Please react to the following statements: Question Title * 1. Name & Email Address Name Email Address Question Title * 2. The pain patient is being adequately considered in the discussion regarding how to address the pain issue in the U.S. Strongly Agree Moderately Agree Agree Moderately Disagree Strongly Disagree Question Title * 3. The National Pain Strategy is asking the right questions about how to address the pain issues in the U.S. Strongly Agree Moderately Agree Agree Moderately Disagree Strongly Disagree Question Title * 4. Is your physician: Part of the Problem Part of the Solution Both Neither Question Title * 5. Are your elected officials: Part of the Problem Part of the Solution Both Neither Question Title * 6. Are regulators like the DEA and FDA: Part of the Problem Part of the Solution Both Neither Question Title * 7. (Open ended)--If you could tell the media one thing about how to cover the chronic pain issue, what question would you tell them to ask? (please limit to 150 words---if you leave your name we may use it in future news content) Question Title * 8. Your Age Under 35 35-49 50-59 60 and above Question Title * 9. Your Gender Male Female Question Title * 10. Do You Suffer From Chronic Pain? Yes No Question Title * 11. Type of Chronic Pain? Back Pain CRPS Fibromyalgia Migraine Neuropathy Osteoarthritis Other (please specify) Done