MARKET RESEARCH – Project Asthma Sufferers and Carers

We are looking for people who have been diagnosed with Asthma and we are looking for caregivers of Asthma patients to take part in an online focus group for 2 hours. This group will be conducted via a webcam so please ensure you have a working webcam when applying for this study.

LOCATION:		Online focus group with webcam
DATE:		Wednesday 5th April or Thursday 6th April 2017
INCENTIVE:		£70.00
TIME:		6.30pm or 8pm

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.

Ethnicity:

If you are a sufferer of Asthma, please answer the following:

Which of the following have you been diagnosed with?

Chronic Heart Failure
Asthma
Psoriasis
COPD
MS
Parkinson’s Disease
Inflammatory bowel disease
Rheumatic Arthritis

How long ago were you diagnosed with Asthma?

How long ago did you receive the first treatment for your Asthma?

If you are a caregiver to someone who has Asthma, please answer the following:

Has anyone close to you been diagnosed with any of the following?

Chronic Heart Failure
Asthma
Psoriasis
COPD
MS
Parkinson’s Disease
Inflammatory bowel disease
Rheumatic Arthritis

Are you personally providing care for a family member/friend because of their Asthma? Yes/No?

When was the family member/friend diagnosed with Asthma?

When did this family member/friend first receive treatment for their Asthma?

All to answer:

How familiar are you with pharmaceutical related websites?

How often do you use online resources to gather information about medically related issues?

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