Stimwave Candidate Assessment

Eight Questions. Less Pain. More Living.

Answer eight questions below, and our interactive assessment tool will provide insight into your candidacy for Freedom from Chronic Pain.

    I am completing this candidate assessment for?

    Please select you or your friend/family member's gender

    How long have you or your friend/family member been suffering from pain?

    What type of pain is being experienced? (Select all that apply):

    Rate the average daily pain level over the past 30 days.

    Which pain treatments have you or your friend/family member tried? (select all that apply)

    Does pain keep you or your friend/family member from? (select all that apply):

    Which statement best describes you or your friend/family member best?

    virtual-md cross