MARKET RESEARCH – Project Heart Failure

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.

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.

We look forward to hearing from you.
 
Kind regards,
 
 
Daliah Salem
trend MARKET RESEARCH LTD