The British Pain Society

Thank you for your interest in the British Pain Society Patient/Carer Reference Group - this group is specifically for people who live in pain and or their carers.

We will only use the information that you give us to help us describe the demographics of our group to others. Your information will be kept securely and you can unsubscribe at any time from this group.

By signing up you will receive emails from us asking your opinion, thoughts and feelings on the work of the British Pain Society and the Patient Voice Committee.

This group is a reference group and the terms of reference are available from info@britishpainsociety.org

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Email Address *

First Name *

Where do you live? (Nearest Town/City) *

Year of Birth *

How would you describe your ethnic group *

Tell us about your relationship to Pain *

Person Living in Pain
Carer for someone living in pain
Person Living in Pain and also a Carer

Your Gender *

Male
Female
Prefer not to say

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