We are looking for people who have been diagnosed with Eczema and parents who have a child that has been diagnosed with Eczema to take part in an in-home interview for 2 hours.
LOCATION:
In-Home
DATE:
22nd, 23rd or 24th May 2017
INCENTIVE:
£80.00
TIME:
TBA
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
Who, in your household, has been diagnosed with Eczema?
If you have a child who suffers with eczema, please tell us the age of your child.
Which of the following type of healthcare professional do you see for your/your child’s eczema?
GP
Dermatologist
Allergist
Paediatrician
Paediatric dermatologist
How long ago were you/your child diagnosed with eczema?
Is your eczema/your child’s eczema?
Mild
Moderate
Severe
Please briefly describe the symptoms of the eczema when you/your child has a flare up.
Which of the following have you ever used to treat the eczema?
Over the Counter creams/lotions, etc
Over the Counter treatments such as hydrocortisone, antihistamine, etc
Prescription topical creams/lotions
Prescription oral medication
Wash with speciality soaps
Injectable treatment
Which of the following prescription treatments have you/your child used before?
Triamcinolone - cream
Triammcinolone – Pill form
Clobetasol
Hydrocortisone cream
Hydrocortisone pills
Fluocinonide
Mometasone
Desonide
Betamethasone Diprpionate
Fluocinolone Acetonide
Desoximetasone
Pimecrolimus
Tacrolimus
Prednisone cream
Prednisone pills
Cyclosporine
Methtrexate
Azathioprine
Mycophenolate mofetil
Methyprednisolone cream
Methylprednisolone pills
Dexamethasone cream
Dexamethasone pills
Prednisolone cream
Prednisolone pills
Oral antihistamine
Injectable antihistamine
Which of the following over the counter products have you used before to help treat your/your child’s eczema?
CeraVe
Cortizone 10
Cortaid
Gold Bond
Exederm
Neosporin
TriCalm
Dermaced
Wild Naturals
Aveeno
Eucerin
Cetaphil
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.
