MARKET RESEARCH – Project ADHD

We are looking for parents of children with ADHD to take part in an interesting study. The research will involve you taking video footage over a period of 3 weeks – 5-10 minutes per day - (video camera will be sent to you). All members of the family must be prepared to get involved in some video footage and the children should be open to talking in front of the video camera.

LOCATION:		Video research
DATE:		To be completed by end of February.
INCENTIVE:		£200.00

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.

Who do you live with at home?

If you have children, please tell us their ages.

Do you have a child that has a formal diagnosis of ADHD? Yes/No?

How old is your child with ADHD?

What school year is your child with ADHD in?

At what age was your child diagnosed with ADHD?

Which of the following types of medication does your child take for ADHD, if any?

None
Concerta
Equasym
Medikinet
Ritalin
Tranquilyn
Elvanse
Strattera
Intuniv
Other – Please specify

How long has your child been taking medication for?

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