Questionnaire for pain experts

If you are having a consultation with one of our pain experts, you can download a copy of their digital pain diagram here, to complete and email back to us at

If you cannot email this back and prefer to post it, please post it to PO Box 1601, Guildford, GU1 9EN making sure that you have used the correct postage and taken a copy of it for your own records.

Tips for completing the pain diagram:

  • Print out the document if you are unable to complete it digitally.
  • Use black ink if possible.
  • If you need help completing the form please call us on us on 020 7118 0650.