Ouch Survey What level of pain do you feel today?Select from the scale below, 0 = Nothing and 10 = Worst imaginable pain.01345678910On average, what level of pain do you feel?Select from the scale below, 0 = Nothing and 10 = Worst imaginable pain.01345678910How does this affect the life you want?What is the pain primarily from?ArthritisMigrainesOld injuryFibromyalgiaUnexplainedOtherIf other, please list what it isWhat do you currently do to ease the pain?Email*
