Advocacy Survey

Thank you for your interest in joining with us to advocate for eliminating the undertreatment of pain. It is not acceptable that millions of Americans suffer with pain and the majority of people do not receive appropriate care. Pain does not discriminate; it cuts across race, age, gender and medical conditions. By working together we can build and leverage a tremendous voice for change.

There are many ways you can volunteer and help! By completing this form, your information will:

• Guide our efforts
• Let us know how you would like to be involved, and
• Assist us in determining how to best target your advocacy interest/experience as it is needed on important issues.

By uniting our voices for hope and power over pain, together we can create change!

We take your privacy seriously and know it is important to honor. We will not sell or rent this information to others. We will share this information only with your permission. For more information about our privacy policies, click here.