MARKET RESEARCH – Project Patient

We are looking for people who have been diagnosed with the following conditions as well as healthy people to take part in an interview for 30 minutes in London.

We are ideally looking to speak to people who have been diagnosed with the following:

• Psoriasis
• Psoriatic Arthritis
• Rheumatoid Arthritis
• Ankylosing Spondylitis
• None of the above (healthy)

Please answer the questions below.

Name:

Telephone number:

Home Postcode:

Work Postcode:

Age:

Who do you live with at home?

Occupation:

Job Title:

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

What is the highest level of education that you achieved?

Which of the following have you been diagnosed with?

• Psoriasis
• Psoriatic Arthritis
• Rheumatoid Arthritis
• Ankylosing Spondylitis
• Hearing impairment
• Visual impairment
• None of the above (healthy)

Would you describe your condition as?

• Mild
• Moderate
• Severe

Are you?

• Left handed
• Right handed

Do you suffer with any manual dexterity issues that affects your ability to manipulate objects in your hands? Yes/No?

Which types of medication do you take for your condition?

• Oral
• Cream/ointments
• Injection
• Other – Please specify

Have you ever used an autoinjector device to administer medication to yourself? Yes/No?

Have you ever used a pre-filled syringe to administer medication to yourself? Yes/No?

What are the names of the medications that you currently take?

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