We are looking for males and females aged 20-55 to take part in a group discussion in London for 75 minutes about smoking.
Some people will be selected to stay at the discussion for a further 75 minutes. Please ensure that you are available for the full 2.5 hours in case you are selected to stay.
LOCATION:
London WC2
DATE:
Monday 12th December 2016
INCENTIVE:
£65.00. If you are selected to stay for a further 75 minutes you will receive an extra £30.00
TIME:
4pm or 7pm (depending on answers)
Please answer the questions below.
Name:
Telephone number:
Home Postcode:
Work Postcode:
Age:
Ethnicity:
Nationality:
What was the highest level of education you achived?
Occupation:
Job Title:
Industry sector:
Working status i.e. Full time, part time, etc..
Occupation of chief income earner in the household?
Who do you live with at home?
If you have children, please tell us their ages.
Which of the following describes you?
I have never smoked
I used to smoke but no longer do
I currently smoke but plan to quit sometime in the future
I currently smoke and have no interest in quitting
How often do you smoke cigarettes?
How many cigarettes do you smoke per day?
For how many years have you been smoking?
How many times in the past 3 years have you tried to quit smoking?
Which of the following sources have you used to research information regarding quitting smoking?
Adverts
General health sites online
Websites for specific drugs
Visited a healthcare professional
Friends or family
Brochures/leaflets
Quit Smoking support group in a medical setting such as a hospital, doctor’s surgery. Etc
Quit Smoking support group in a non-medical setting such as a church, gym, etc
Pharmacy
Medical journal
Mobile App
Other – Please specify
Which of the following methods have you tried in the past to help quit smoking?
Nicotine gum/lozenges
Nicotine patches
Champix prescription medicine
Wellbutrin/Zyban prescription medicine
Bupropion prescription medicine
Nicotine inhaler
Herbal cigarettes
Electronic cigarettes
Hypnosis
Acupuncture
Other – Please specify
None of the above
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.
