PARTICIPANT SCREENING QUESTIONNAIREHome / PARTICIPANT SCREENING QUESTIONNAIRE The Lived Experiences of Female Veterans Living with Chronic Pain: The Lived Experiences of Female Veterans Living with Chronic Pain: Barriers and Facilitators to Integrative Care Incorporating Clinical Hypnosis Thank you for your interest in participating in this research study. This screening form is used to determine eligibility. Your responses are confidential. Participation is voluntary, and you may skip any question or stop at any time.Full NameEmailPhone/Mobile1. Are you a U.S. military veteran? yes no2. Are you 18 years of age or older? yes no3. Do you identify as female? yes no4. Have you been diagnosed with chronic pain (lasting longer than 6 months) by a healthcare provider? yes no5. Are you comfortable participating in clinical hypnosis that may include optional faith-based elements? yes no6. Do you have any medical, physical, or cognitive conditions that may limit participation? yes no7. Do you have access to a reliable device with internet? yes no8. Would you be willing to listen to audio recordings daily? yes no9. Are you able to consent independently? yes no10. Are you able to read, write, and communicate in English sufficiently to participate in interviews? yes no11. Are you dependent on any substance that would require immediate treatment? yes no12. Do you have any symptoms of active psychosis or severe psychiatric instability that would interfere with participation? yes noAny Additional Comments? (optional)Submit Your Survey Like this:Like Loading…