Project Diabetes Management

Market Research

We are looking for diabetic patients to take part in an in home interview in the BRISTOL OR BIRMINGHAM area for 1 hour to discuss the management of their diabetes.

Location	- Bristol and Birmingham areas.
Date	- w/c 28th October 2013
Time	- TBA
Incentive	- £30.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Occupation:

Have you been diagnosed with Type 1 or Type 2 diabetes?

How long ago were you diagnosed?

Please tell us what type of medication you take to manage your diabetes i.e. insulin, oral medication, etc

If you take insulin please tell us the name/s of the insulin that you are taking.

What is your current A1c level?

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.

We look forward to hearing from you.

Kind regards,

Daliah Salem
trend MARKET RESEARCH