MARKET RESEARCH – Project Diabetes September

We are looking for people who have been diagnosed with Diabetes to take part in an interview in London.

Please answer the questions below.

Name:

Telephone number:

Postcode:

Age:

Occupation:

Job Title:

Who do you live with at home?

How long ago were you diagnosed with Diabetes?

Do you have?

• Type 1 diabetes
• Type 2 diabetes

Which of the following types of medication do you currently take?

• Oral medication
• Insulin injections
• Non Insulin injections
• Diet and exercise controlled

If you take insulin, which of the following types of insulin do you take?

• Long acting only – Basal
• Short acting only – Bolus
• Both

Please tell us the names of the insulin that you currently take and the make and model of insulin pen that you use.

Please tell us the names of other medications that you currently take.

Have you heard of an emergency injection kit for the treatment of low blood sugar levels – a Hypo Kit? Yes/No?

Do you own a hypo kit? Yes/No?

If yes, how long have you owned this kit for?

Have you ever been offered a hypo kit but decided not to own one? Yes/No?

How often do you experience mild hypos?

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