We are looking for people aged 35-70 to take part in an in-home interview for 90 minutes about suffering with IBS
There will be a pre-task to complete prior to the interview
LOCATION:
In home
DATE:
Various dates available from Wednesday 14th March – Tuesday 20th March 2018
INCENTIVE:
£70.00 + £10 for completed pre-task
TIME:
TBA
Please answer the questions below.
Name:
Telephone number:
Postcode:
Age:
Ethnicity:
Working Status:
Occupation:
Job Title:
Industry sector:
Occupation of chief income earner in the household:
Who do you live with in your household?
If you have children, please tell us their ages
Which of the following conditions have you suffered from and have bought medication for in the last 12 months?
Indigestion
Heartburn
Period pains
Constipation
Lower abdominal/stomach pains/cramps
IBS – Irritable Bowel Syndrome
Diarrhoea
Hard/dry stools/difficulty passing stools
None of the above
Which of the following symptoms have you suffered from in the last 3 months when suffering with IBS?
Diarrhoea
Trapped wind
Cramps
Pain
Discomfort
Acid reflux
Bloating
Constipation
None of the above
How often do you suffer with each of the following symptoms when suffering with IBS in the last 3 months?
Diarrhoea
Trapped wind
Cramps
Pain
Discomfort
Acid reflux
Bloating
Constipation
None of the above
Which of the following symptoms have you taken pain relief for in the last 3 months?
Diarrhoea
Trapped wind
Cramps
Pain
Discomfort
Acid reflux
Bloating
Constipation
None of the above
Has your IBS?
Been diagnosed by a doctor or healthcare professional
Been diagnosed by yourself
Who makes the decision on which over the counter medication you buy and take for your IBS symptoms?
How intense are the symptoms of your IBS?
Mild
Moderate
Severe
Which of the following medications have you taken in the 12 months to help treat your IBS symptoms?
Buscopan (over the counter)
Colpermin
Colofac IBS
Imodium IBS
Antacids
Natural remedies
Pain killers such as paracetamol, ibuprofen, etc
Probiotics tablets
Other – Please specify
I do not take anything to prevent this type of pain from occurring
I do not take anything to help the pain when it occurs
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.
