Please allow for enough time to complete the course in one session. You will have to start over if you exit without completing all activities to the finish page.

required *









What is your gender? *


What is your marital status? *




What is your employment status? *





How satisfied are you with your medical care for pain? *





Have you been deployed to either Afghanistan or Iraq? *


Do you have a personal history of alcohol or other drug abuse? *


Are you currently being prescribed opioids/narcotics (oxycodone, methadone, vicodin, Percocet, etc.)? *


How do you rate your quality of life? *