MARKET RESEARCH – Project Asthma

We are looking for people who have been diagnosed with asthma to take part in an interview for 90 minutes in London.

LOCATION:		London WC1
DATE:		Tuesday 4th April or Wednesday 5th April 2017
INCENTIVE:		£60.00
TIME:		Various times available from 12 noon- 6pm

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?

Asthma
COPD
Asthma and COPD
None of the above

How long ago were you diagnosed with Asthma?

Do you currently use an inhaler to treat your asthma? Yes/No?

Which of the following would you use to search for information about asthma and medication?

GP
Asthma Nurse
Hospital doctor
Google or other search engine
Self help/patient support group
Specific websites – please specify

Which make and model of mobile phone do you have?

Do you use apps on your mobile phone? Yes/No?

Do you or have you ever used a health or wellbeing app? Yes/No

Would you consider using an app in the future to help you manage your asthma? Yes/No?

Which medication/s are you using for your asthma? Please list all

How often do you use each of your inhalers?

If you are not currently using Symbicort, have you ever used Symbicort in the past?

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