Women4Real is investigating the relationship between an overactive sympathetic nervous system, attentional focus and vulval pain syndromes. Please fill in the short survey below which will help us decide if you meet the criteria for the study. Participation provides a unique opportunity to gain insight into your brainwave and mental energy patterns. 

* 1. Which of the following diagnoses have you received? (Please select all that apply)

* 2. Have you been diagnosed with any other long-term health conditions e.g. chronic fatigue syndrome, fibromyalgia, IBS, depression, anxiety? If so, please let us know which ones.

* 3. What is your age?

* 4. Do you use any mindfulness / meditation / relaxation / stress management techniques on a daily or weekly basis? If so, please let us know which ones and how regularly you practice.

* 5. Please supply your email address. We will be in touch in due course with everyone who fills in the survey to inform you of progress and to invite a selection of applicants through to the study.

Privacy statement: Women4Real keeps all personal details strictly confidential and will not share your information with other parties.