MARKET RESEARCH – Project Ulcerative Colitis & Crohn’s Disease

We are looking for people who have been diagnosed with Ulcerative Colitis or Crohn’s disease to take part in a group discussion in London for 2 hours

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

Which of the following have you been diagnosed with?

• Crohn’s Disease
• Ulcerative Colitis
• Celiac Disease
• Chronic constipation
• IBS
• Arthritis (any type)
• Diabetes
• None of the above

How long ago were you diagnosed with Crohn’s Disease or Ulcerative Colitis?

Which medication/s are you taking currently for your UC or Crohn’s Disease? Please list all

How long have you been taking your current medication?

Which medications have you taken in the past for your UC or Crohn’s Disease that you no longer take?
Which of the following best describes the severity of your condition, as per your doctor’s description?

• Mild
• Moderate
• Severe
• Unsure

Do you self-inject any of your current treatments for UC or Crohn’s disease? Yes/No?

How willing would you be in the future to use an injectable biologic medication if it was something that your doctor suggested?

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