We are looking for people aged 50+ who have been diagnosed with heart failure to take part in an in home interview for 4-5 hours.
LOCATION:
In home
DATE:
TBA - w/c Monday 25th April 2016
INCENTIVE:
£200.00
TIME:
TBA
Please answer the questions below.
Name:
Telephone number:
Home Postcode:
Age:
Ethnicity:
Occupation:
Occupation of chief income earner in the household:
Which industry sector that you work in?
Working status i.e. Full time, part time, etc..
Which of the following conditions have you been diagnosed with?
Irregular heartbeat
Slow heartbeat
High Blood pressure
Heart Disease
Heart Failure
Other heart condition – please specify
Do you have any of the following types of implanted device to help you manage your heart condition?
ICD – implanted cardioverter defibrillator)
CRT-D (cardiac resynchronisation therapy device)
Pacemaker
LVAD (left ventricular assist device)
None of the above
What are the names of the medications you take for your heart condition?
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.