MARKET RESEARCH – Project Haemophilia

We are looking for people who have been diagnosed with Haemophilia to take part in a telephone interview for 45 minutes.

This will be a web assisted interview and you will need to be in front of a computer with internet access during the interview.

Please answer the questions below.

Name:

Telephone number:

Postcode:

Age:

Occupation:

Job Title:

Which type of Haemophilia have you been diagnosed with?

• Haemophilia A
• Haemophilia B
• Other

Which of the following has a healthcare professional said about your haemophilia?

• Mild
• Moderate
• Severe

Please tell us the factor levels of you Haemophilia, if known

Which medications do you primarily use for your haemophilia? Please list all medications that you take for the condition

Have you ever developed inhibitors and if so, what is your current inhibitor staus?

Which of the following describes how you use your treatment for your Haemophilia?

• Routinely take factor prophylactically to prevent bleeding
• Take factor only for a bleed or when a bleed occurs
• Only take factor for bleeds but sometimes take factor to prevent bleeds on certain occasions such as before a holiday, or before a sporting event
• Do not take factors

Do you?

• Personally administer your treatment
• Someone else administers the treatment

Where is your treatment administered?

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