Chronic Pain Conquerors - The Devan Group

Please note--you do not have to complete this form in one sitting. You may use the SAVE & CONTINUE button at the bottom to return later.

Contact Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Website

Facebook

Instagram

Age(Required)

Please enter a number from 18 to 99.

I can be available for. . .

Online book launch

Pre-recording to highlight my chapter

My Chronic Pain Conversation

List your Chronic Pain condition(s) and how long it's been since you were diagnosed with each one.(Required)

For example: Fibromyalgia - 5 years, Lupus - 3 years, etc. Click the plus sign at the right to add a new row.

Condition

Time (years)

For each condition above, please give your medical definition/perspective.(Required)

Please list any remedies, tips or techniques you use to help elevate your condition.(Required)

Please share your journey on how your chronic pain issue(s) developed.(Required)

What does a bad day with your condition(s) look like?(Required)

Your inspirational message for our readers:(Required)

The following are future topics for the Chronic Pain Conquerors Series. Please indicate if you are interested in writing on any of the following topics:

How my lifestyle changed after developing a chronic diagnosis

How I learned to cope with my illness(es)

My support system: family, friends, specialists and associations that helped me live live

Treatments, medications, and alternative options I've utilized to help manage my pain

DISCLAIMER(Required)

I hereby waive any potential claim against The DeVan Group that may result from my participation in this project.