MARKET RESEARCH - Project Atrial Fibrillation

We are looking for people aged 51-80 who have been diagnosed with Atrial Fibrillation to take part in a 1 hour interview either in home or in London to discuss the condition and stroke prevention.

LOCATION:		In Home or in Fulham, London (Please state which is preferable for you).
DATE:		Thursday 7th August/Friday 8th August 2014
TIME:		TBA
INCENTIVE:		£40.00(in home), £60.00(in London)

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

How long ago were you diagnosed with Atrial Fibrillation?

What is the name of the medication that you are taking for your Atrial Fibrillation?

How long have you been taking this medication?

Have you taken any other medication in the past for your Atrial Fibrillation? Please specify.

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