Headache Cooperative of the Northeast Patient Meeting Survey
The Headache Cooperative of the Northeast is comprised of leading headache specialists. Each year this organization hosts a patient event to educate and support people living with headache and related disorders. This is a unique opportunity to access some of the leading minds in this field. 

This year's Headache Cooperative of the Northeast's patient meeting will be held virtually. Our panelists will be addressing topics based on your feedback. Please tell us what you want to learn or discuss, or what you have never been able to ask of your doctor. You can always submit questions live at the event, but please use this form to submit advance questions.

To receive information about this and future HCNE events, please provide your name and email address.
Sign in to Google to save your progress. Learn more
What questions do you wish you could ask a headache specialist? Are there any topics you want to better understand? *
Please note that speakers cannot give personalized medical advice. You can ask more than one question.
Would you be interested in attending a webinar that answers the questions you posed above?
Clear selection
What days and times are best for you?
Check all that apply. HCNE operates in Eastern Time.
How did you learn about this survey?
Clear selection
Name
Email Address
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms