Project Phase 3

Market Research

We are looking for people aged 50+ who have been diagnosed as obese to take part in a discussion for 1 hour in London about weight loss and weight management.

Location	- In home
Date	- Thursday 10th April – Tuesday 15th April 2014
Time	- Various daytime and early evening slots available
Incentive	- £30.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Does your household income fall above or below £45k? Above/Below?

Please tell us your current weight. Please tell us the most you have weighed in the past.

Please tell us your height.

Have you been diagnosed with any of the following? High Blood Pressure, High Cholesterol, Sleep Apnoea, Joint pains, High blood sugars (pre-diabetic)

Have you ever had any weight loss surgery? Please give details if applicable.

Have you been diagnosed with diabetes? If so, please state if this is Type 1 or Type 2. Please give details of the name of any medication you take for your diabetes.

Are you currently actively trying to lose weight? 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