PEG Pain Questionnaire

The following brief questionnaire will enable us to track changes in how you perceive your pain level over the next 60 days.

Note: We will not utilize your contact information except to follow up with a questionnaire at 30 days and 60 days, after which all identifying information will be destroyed. We will not call you at this phone number.  A text and email reminder will be sent in 30 & 60 days, and you will not be contacted again after completion of the study.

Thank you for participating in this study.  We really appreciate your help today and for the next two surveys in 30 and 60 days.  Have a great day.