Canadian Pain Patient Survey

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For testing only - survey results will not be saved. They may be used as test data for demonstrations. Do not write anything that might identify you.
To use this survey for real data collection, activate your survey in SIS.

This survey is for Canadians who take opiate pain medicine for chronic pain.

We are trying to reach as many chronic pain patients in Canada as possible, please share this survey.

If you are a caretaker or family member, please respond on behalf of the pain patient in your care.

This survey has been designed by the Chronic Pain Association of Canada (CPAC). CPAC will use the data to advocate for Canadians who need opiate pain medicine to maintain a quality of life.

This survey is anonymous: we will not collect personal information, your email address or your computer's IP address.

For inquiries about the survey, email