IASP Multidisciplinary Pain Center Development Manual Survey

IASP Multidisciplinary Pain Center Development Manual Survey

Tell us how you are using the manual in your work! Information in this survey will be used only by IASP staff to demonstrate impact of the manual unless you choose to be contacted at the end of the survey.
Personal Information
What is your first and last (family) name? *

First Name Last Name
Email *
example@example.com
What country do you live in? *
What type of organization do you work for (if any)? *
If you selected other, please enter the type of organization you work for in the box below.
What is your occupation? *
What is your specialty? *
Are you an IASP Member? *

Yes No
Are you a member of the pain society in your country? *

Yes No
Clinic Information
Does your country currently have a multidisciplinary pain center? *

Yes No
What is the name of your country's mutlidisciplinary pain center?
If there is more than one in your country, please type as much information as you know.
In what city or region is the multidisciplinary pain center located?
If there is more than one in your country, please type all locations.
Do you see a need to open an additional multidisciplinary pain center?

Yes No
Do you see a need for a multidisciplinary pain center in your country?

Yes No
Are you involved in the establishment of a multidisciplinary pain center in your country?

Yes, I am in charge of establishing one. Yes, I am part of a team establishing one. No
Additional Resources
Would you like additional resources about multidisciplinary pain centers? *

Yes No
What types of resources would you like?

Research Articles Slide Presentations Videos Questionnaires or other tools to use with patients Virtual training through web conference (such as Zoom) In-person training
Would you like a member of the Advisory Group to contact you for additional assistance? *

Yes No
Can IASP contact you to find our more information about pain management in your country and/or how you are using the manual? *

Yes No
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IASP Multidisciplinary Pain Center Development Manual Survey

Personal Information

Clinic Information

Additional Resources