MARKET RESEARCH – Project Eczema 2017

We are looking for people who suffer with Eczema to take part in an interview in London for 1 hour about emollients and creams.

You will be asked to test some emollient on your skin during the interview

We will also be looking to interview some parents of children who suffer with eczema to take part in an interview with their child.

Please answer the questions below.

Name:

Telephone number:

Home Postcode:

Work Postcode:

Age:

Occupation:

Occupation of chief income earner in the household:

Working status i.e. Student, Full time working, part time working, etc.

Who do you live with at home?

If you have children, please tell us their ages

Who in your household suffers with Eczema?

Is the Eczema?

• Mild
• Moderate
• Severe

How old is the person in your household that suffers with Eczema?

Which of the following, if any, do you/your child use for your Eczema?

• E45
• Zerobase
• Aveeno
• Cetraban
• Diprobase
• Other – Please specify
• None of the above

When does the eczema affect you or your child/flare up the most? I.e. when the patient is stressed, etc

On a scale of 1-10 (1=severely and 10=very mildly) which number would reflect how eczema has affected your life?
Which of the following best describes why you/your child is using the emollient that you use?

• It is the one I have been prescribed
• I have always used it
• It always works for me and feels great on my skin
• Other

Do you suffer from any skin allergies? If yes, please specify

How often do you use the emollient?

Please tell us if you would be willing to bring your child who suffers with Eczema (if applicable) to the interview. You will receive an extra £25 if your child attends.

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