How long have you had moderate to severe pain?*

Less than 6 months 6 to 12 months 12 months to 2 years 2 to 5 years 5+ years I do not have moderate to severe chronic pain

Assessment Results

Based on your answers, you may not qualify for
Abbott's neurostimulation therapies at this time.

Please continue this conversation with your doctor to determine what treatments could be right for you.

Find a specialist

Question #2

Where on the body are your primary pain area(s)?*

Head Abdomen Neck Lower back Shoulder(s) Hip(s) Chest Buttock(s) Arm(s) Leg(s) Hand(s) Knee(s) Upper back Foot/Feet

Please select one or more of the above options before proceeding.

Question #3

How many different treatments have you tried?*

Zero to two Three or more I don't know

Question #4

Which statement best describes you?*

I'm exploring my treatment options before I find a pain specialist I'm exploring treatment options with a pain specialist My pain specialist has recommended neurostimulation and I'm
considering trying a temporary system I currently have a neurostimulation system implanted

ASSESSMENT RESULTS

Based on your answers, you may be a candidate
for Abbott's neurostimulation therapies.

Fill in your details below to learn more about chronic pain, how neurostimulation could
help, and from patients who have found relief.

* Indicates a required field.

First Name *

Last Name *

Email *

ZIP Code *

Phone Number *

* I understand and agree that Abbott will process my sensitive data, including information I provided about my physical health, and any inferences that may be drawn from my personal information in order to evaluate my eligibility to participate in the Abbott Neuromodulation Therapy Navigator Program to contact and provide me with helpful information about Abbott Neuromodulation therapies.

I consent to Abbott’s use of my sensitive data, including information I provided about my physical health and any inferences that may be drawn from my personal information, to analyze and monitor trends for marketing purposes. I understand that I may withdraw my consent at any time by using the link provided in Abbott’s Privacy Policy under “Your Privacy Rights and Choices” by clicking here. For more information about how Abbott’s use of this information, please see the Abbott Privacy Policy and Consumer Health Data Policy.

* By checking this box and providing your mobile number, you agree to receive recurring automated promotional and personalized marketing calls and text messages from Abbott to the above phone number relating to Abbott Neuromodulation therapy. Text STOP to cancel. Msg frequency varies. Msg & data rates may apply.

By clicking “Submit”, I agree that the information I have provided will be used by Abbott and its service providers to contact me by mail and/or email with helpful information about Abbott Neuromodulation therapies as noted above. I am at least 18 years old and am a U.S. resident.

Important Safety Information

The assessment questions are provided for initial evaluation and educational purposes. Your answers to the assessment questions, may include sensitive data, such as physical health information. Questions that ask you for sensitive data are marked with an “*”. Your answers to the assessment questions will not be processed by Abbott unless you agree to “Submit” your responses and contact information at the end of this survey. To learn more about Abbott’s privacy practices click here.

Question #1