MARKET RESEARCH – Project Atrial Fibrillation

We are looking for people who have been diagnosed with Atrial Fibrillation to take part in a group discussion for 2 hours in London

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?

How long ago were you diagnosed with AF?

Which of the following medications have you been prescribed for Atrial Fibrillation?

• Rivaroxaban (Xarelto)
• Apixaban (Eliquis)
• Dabigatran (Pradaxa)
• Edoxaban (Lixiana)
• VKA (Warfarin)
• Other – Please specify
• None of the above

How long have you been taking your current medication for?

Which medications have you been prescribed in the past for Atrial Fibrillation, but no longer take?

• Rivaroxaban (Xarelto)
• Apixaban (Eliquis)
• Dabigatran (Pradaxa)
• Edoxaban (Lixiana)
• VKA (Warfarin)
• Other – Please specify
• None of the above

Have you spoken to your GP about your treatment regime/plan for your Atrial Fibrillation? Yes/No?

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