MARKET RESEARCH – Project Bowel Disease

We are looking for people who have been diagnosed with bowel disease to take part in an in-home interview for 45 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 at home?

If you have children, please tell us their ages

Which of the following have you been diagnosed with?

• Inflammatory Bowel Disease
• Indeterminate IBD
• Ulcerative Colitis
• IBD-U (unclassified)
• Crohn’s Disease
• None of the above

Which medications are you taking for your condition?

How long have you been taking your current medication for?

Which medications, if any, have you taken in the past but are no longer taking?

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