Pain Assessment

Take a few minutes to complete this Pain Assessment, and you can learn about the available relief and treatments that may be suitable for you.

Important: Medtronic Australasia respects the confidentiality of your personal information and your responses will not be shared with any outside companies. Medtronic will use the information in accordance with the Medtronic Privacy Statement.

All questions are required to provide your pain assessment


Q1 Please indicate your age:


Q2 Please indicate your gender:


Q3 Approximately, how long have you been experiencing pain?


Q4 How would you rate the intensity of your pain overall?


Q5 Where in your body do you experience pain? (select all that apply)


Q6 Have any of the following conditions been diagnosed as the primary cause of your pain?


Q7 Which of the following pain management treatments have you tried? (select all that apply)


Q8 What type of healthcare professional provides treatment for your pain? (Select the practitioner you see most)


Q9 Are you satisfied with the level of pain relief your current treatment provides?


Q10   Can you tolerate the side effects of your current treatment?


Q11   Can you manage your symptoms and perform most normal daily activities?


Important: Medtronic Australasia respects the confidentiality of your personal information. Your responses will not be shared with any outside companies. Medtronic will use the information in accordance with the Medtronic Privacy Statement.