MARKET RESEARCH – Project Alzheimer’s Disease Carers and Patients
We are looking for people who have been diagnosed with early stage/mild Alzheimer’s and their carers to take part in an in-home interview for 90 minutes.
LOCATION:
In Home
DATE:
Dates vary from Wednesday 23rd November – Friday 9th December 2016
INCENTIVE:
£60 per person
TIME:
TBA
Please answer the questions below.
Name:
Telephone number:
Home Postcode:
Work Postcode:
Age:
Occupation:
Working status i.e. Student, Full time working, part time working, etc.
Which of the following applies to you?
I have been diagnosed with Alzheimer’s Disease – early stages/mild
I have a close relative that has been diagnosed with early stage/mild Alzheimer’s Disease that I care for/have responsibility for
None of the above
How old is the person that has been diagnosed with Alzheimer’s Disease?
Who does the Alzheimer’s Disease patient live with?
Has the patient’s memory issues been discussed with a doctor? Yes/No?
How long ago was the patient diagnosed?
Which of the following, if any, has the patient been affected by?
Brain Trauma
Parkinson’s Disease
Huntingdon’s Disease
Schizophrenia
Stroke
Vascular Dementia
Picks Dementia
Frontal Temporal Dementia
None of the above
Which of the following does the patient need your help with/do you need help with?
Household tasks and errands
Managing day to day finances
Planning schedules and events
Getting dressed
Bathing
Using the bathroom
None of the above
Please rate the following statements on a scale of 1-5, 1=strongly disagree and 5=strongly agree
I am the kind of person who almost always finishes what I start
If I notice a health problem, I want to do something about it right away
New medications need to be on the market for a while before I feel comfortable taking them
Alzheimer’s/Memory issues is a source of great anxiety for me
If I lose all my memories I am not sure who I will be anymore
I will do whatever my doctor says I should do to manage my Alzheimer’s
I avoid seeing my doctor
Knowing that new medications may become available for Alzheimer’s gives me hope
I expect Alzheimer’s medications to help reverse the memory problems that have already occurred
I think my Alzheimer’s is not bad enough yet to need medication
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.
