MARKET RESEARCH – Project Care Management

We are looking for people who have specific health conditions to take part in a telephone interview for 20 minutes followed by an online study for 40 minutes.

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.

Who do you live with in the household?

If you have children, please tell us their ages?

Highest level of education achieved?

Which if any of the following health problems do you suffer from and need continuous treatment?

• Congestive heart failure (CHF)
• Chronic obstructive pulmonary disease (COPD)
• Diabetes
• Cancer
• High blood pressure
• Kidney disease
• Live disease
• Tinglia
• Other
• None of the above

If you suffer from any of the above, which type of healthcare professionals or paramedical staff do you see?

• General physician/Primary care physician (GP/PCP)
• Cardiologist
• Pulmonologist
• Other, please specify

Have you had a recently unplanned hospital admission for a worsening/deterioration in relation to your condition?

Which of the following best describes the area in which you live?

• Urban
• Suburban
• Rural

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