Question 1 of 10

Which best describes your situation?

Have you (or the person you are caring for) been suffering from pain for more than 6 months?

What is your (or the person you are caring for) average level of pain?

On a scale from 1 to 10, with 1 representing minimal and 10 being most severe, rate your personal pain.

Where is your (or the person you are caring for) pain located?

Choose all areas that apply.

Front

Back

Which of the following treatments are you (or the person you are caring for) currently using or have used in the past?

Choose all that apply.

Are you (or the person you are caring for) currently being treated by a pain management specialist?

Pain management specialists are doctors who specialise in all kinds of pain. They receive years of advanced training in pain management and focus on treating patients with severe pain.

Have you (or the person you are caring for) been diagnosed with any of the following?

Choose all that apply.

Do you (or the person you are caring for) have private health insurance?

How old are you (or the person
you are caring for)?

Your age helps us understand your unique needs and tailor recommendations that work best for you.

Sorry based on your answers, you may not be eligible for our pain management therapy, Spinal Cord Stimulation (SCS), at this time.

However, we’ve gathered some helpful resources for you below.

You should consult your pain management specialist to determine what treatments are right for you.
Use our doctor finder to explore pain management specialists in your area. Why don't I qualify?

Submit the form to prepare for your doctor visit—and stay informed on pain relief options.
Complete the form below to access your discussion guide designed to help you talk with your doctor about your unique pain. This guide supports conversation preparation only and does not provide medical advice or diagnosis. You’ll also receive helpful resources for managing chronic pain and updates on Boston Scientific’s pain management therapies—so you can stay informed, even if current options aren’t the right fit yet.

Based on your answers, the person you care for may not be eligible for our pain management therapy, Spinal Cord Stimulation (SCS), at this time.

However, we’ve gathered some helpful resources for you below.

Find the right support for their care
We encourage you to consult a pain management specialist to determine the most appropriate treatment options.

Use our doctor finder to locate pain management specialists in your area.

Why don't I qualify?

Prepare for their doctor visit—and stay informed
Submit the form below to access a Doctor Discussion Guide and stay up to date on pain relief options.

The guide is designed to help you support more meaningful conversations about their unique pain. It is intended for preparation only and does not provide medical advice or diagnosis.

You’ll also receive helpful resources and updates from Boston Scientific, so you can continue supporting them—even if current options aren’t the right fit yet.

Based on your answers, you may be a candidate for:

Spinal Cord Stimulation (SCS)

Submit the form to prepare for your doctor visit—enable contact from a Boston Scientific Technical Specialist and stay informed on pain relief options Complete the form below to access your discussion guide designed to help you talk with your doctor about your unique pain. This guide supports conversation preparation only and does not provide medical advice or diagnosis.

You’ll also receive helpful resources for managing chronic pain and updates on Boston Scientific’s pain management therapies including SCS —so you can stay informed, even if current options aren’t the right fit yet.

A Boston Scientific Technical Specialist can help answer questions and provide additional information as you explore potential treatment options.

Based on your answers, the person you care for may be a candidate for:

Spinal Cord Stimulation (SCS)

Support their next step with confidence
Submit the form below to help prepare for their doctor visit, enable contact from a Boston Scientific Technical Specialist, and stay informed on pain relief options.

You’ll receive a Doctor Discussion Guide to support more meaningful conversations about their unique pain. This guide is for preparation only and does not provide medical advice or diagnosis.

We’ll also share helpful resources and updates on Boston Scientific’s pain management therapies including SCS —so you can continue supporting them, even if current options aren’t the right fit yet.

A Boston Scientific Technical Specialist can help answer questions and provide additional information as you explore potential treatment options.

First Name:*

Last Name:*

Email Address:*

Phone Number:

Caregiver First Name:*

Caregiver Last Name:*

Caregiver Email:*

Caregiver Phone:

Caregiver Relationship:*

Post Code:*

State:

Gender (assigned at birth):

If you consent, your information will be sent to one of our Boston Scientific team members.

By ticking this box and submitting the information above, I understand I may be contacted by a Boston Scientific Technical Representative and I consent to Boston Scientific using the information submitted on this form to contact me regarding events, disease state awareness educational material and to allow Boston Scientific to use this information to conduct internal analyses, including for marketing effectiveness research and other purposes as outlined in the Boston Scientific ANZ Privacy Policy.

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