Your name

Your email

Phone Number

Role / Title in Clinic

Clinic Location (Street number, City, State/Province Postal/Zip Code)

What type of clinic do you work in?
Small Animal General PracticeSmall Animal Emergency / Critical CareReferral / SpecialtyRehabilitationOrthopedic / Surgical Referral PracticeNeurology Referral PracticeIntegrative / Holistic Veterinary PracticeMobile Veterinary PracticeMixed Animal PracticeEquine PracticeLarge Animal PracticeExotic Animal PracticeOther
What species do you routinely see in your practice?
CanineFelineEquineSmall Mammals (rabbits, rodents, ferrets, etc.)Exotic SpeciesLivestockOther
How do you currently assess pain in your patients?
Clinical observationOwner-reported signsPain scoring scales (e.g., grimace scales)ImagingWe do not routinely quantify painOther
What challenges do you experience with pain assessment? (For example: subjectivity, owner communication, monitoring response to treatment, documentation, consistency, etc.)

How are you most interested in using PainTrace in your practice?
Acute pain monitoring (e.g., post-op, hospitalized patients)Chronic pain monitoring (e.g., OA, long-term conditions)Rehabilitation progress trackingTreatment response evaluationClient communication and educationDiagnostics / pain localizationResearch or clinical studiesNot sure yet / exploring options
How do you envision PainTrace fitting into your workflow?

What would you most like to focus on during the demo?
How PainTrace works (technology and physiology)Sensor placement and setupInterpreting tracesReal clinic case examplesWorkflow integrationClient communicationOther
If you answered Other in the previous question, please describe what you would like to focus this demo on.

What 2–3 remaining questions do you need answered to feel confident bringing PainTrace into your practice today?