We are looking for people who have been diagnosed with Multiple Sclerosis to take part in either an in home interview or a telephone interview for up to 4 hours.
LOCATION:
In home or telephone interview
DATE:
Dates vary from Thursday 7th January 2016 – Friday 15th January 2016
INCENTIVE:
£100.00
TIME:
TBA
Please answer the questions below.
Name:
Telephone number:
Postcode:
Age:
Occupation:
Who do you live with in your household?
Which type of MS do you have?
Relapse Remitting
Primary Progressive
Secondary Progressive
How long ago were you diagnosed with MS?
Which of the following statements best describes you?
My symptoms are very mild and hardly impact on my daily life
My symptoms sometimes get in the way of daily life activities
Mt symptoms often get in the way of daily life activities
I sometimes require assistance but can generally perform daily life activities
There are daily life activities I can no longer perform
Which centre/hospital do you attend for your MS treatment?
Which medication/s are you taking currently for your MS?
Which medications have you taken in the past for your MS, but are no longer taking?
Which of the following healthcare professionals do you see for your MS?
MS Nurse
Physiotherapist
Occupational Therapist
Therapist
Speech therapist
Neuro-psychologist
Other – Please specify
Do you have someone who cares for you when you are not well? Yes/No?
If yes, please tell us who cares for you.
Have you accessed any of the following for support for your MS?
MS Support group
Online patient groups/support groups
Religious community
Other – Please specify
None of the above
Would you like your carer, if applicable, to be present during the interview (face to face interviews only)?
Please forward this on to anyone you know who may be interested.
Unfortunately, it is impossible to reply to all emails or phone messages. We receive lots of responses to researches that are emailed out. You will be contacted by phone if your application is successful. However, we apologise if you do not hear from us, but please keep trying for future projects that are sent out.
