This survey will be of BENEFIT TO YOU and others suffering with CRPS/RSD. We are interested in what YOU think.
Be candid and opinionated if you wish. All surveys will be read.
Please complete this survey if:
If you wish to complete this survey and you do not have a computer, please supply us with your mailing address and we will send one out to you.
E-mail: email@example.com or write to:
RSD CANADA SURVEY
c/o PO BOX 21026,
St. Catharines, Ontario
Canada L2M 7X2
To our knowledge, this is the first survey in Canada on
Complex Regional Pain Syndrome (Reflex Sympathetic
Dystrophy). We are gathering important information on
CRPS/RSD in order to gain more knowledge about how it
affects those in Canada. We intend to present the results to
government agencies in order to obtain assistance in the
treatment of CRPS/RSD in Canada. (Details on the last page.)
Feel free to express your opinions in the spaces provided.
We thank you for your cooperation.
All answers will be kept confidential.
REMEMBER: You may only be one voice but
TOGETHER WE ARE MANY VOICES AND WE WILL BE HEARD