MARKET RESEARCH – Project Autism Spectrum Disorder

We are looking for adult sufferers of Autism and caregivers of autistic sufferers to take part in a Skype interview for 90 minutes.

Please answer the questions below.

Name:

Telephone number:

Home Postcode:

Age:

Job Title:

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

Occupation of chief income earner in the household?

Who do you live with at home?

If you have children, please tell us their ages

Are you?

• A carer for someone with Autism
• An individual who has Autism

FOR CARERS TO ANSWER BELOW:

What is the relationship between you and the person with Autism?

How often do you interact with the person with Autism?

Are you open to them receiving some form of medication to help manage their Autism? Yes/No?

Does the person with Autism suffer with any of the following?

• ADHD
• Epilepsy
• An extreme mental health condition such as Schizophrenia
• None of the above

Does the person with Autism work?

• Full time
• Part time
• A student
• Self employed
• None of the above

Is the person with Autism able to interact with other people/colleagues face-to-face? Yes/No?

Is the person with Autism in a role of work that involves management of other people/colleagues? Yes/No?

Is the person with Autism involved in a role that involves complex problem-solving and is often highly pressured? Yes/No?

Has the person with Autism had to retake any years of education? Yes/No?

Who does the person with Autism live with?

FOR PATIENTS WITH AUTISM BELOW:

How old are you?

Are you open to taking medication to help your Autism? Yes/No?

Do you suffer with any of the following?

• ADHD
• Epilepsy
• An extreme mental health condition
• None of the above

What is your working status? Full time, part time, student, etc

What is your current IQ score?

Are you in a role that involves?

• Frequent interaction with other people/colleagues face-to-face
• A role that involves management of other people/colleagues
• Complex problem solving and is highly pressured

Have you had to retake a year of education? Yes/No?

Who do you live with?

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