MARKET RESEARCH - Project Adult Diabetes Patients

We are looking for males and females aged 20-70 who have been diagnosed with Diabetes to take part in a discussion in London for 1 hour.

LOCATION:		London, WC1
DATE:		Monday 20th October OR Tuesday 21st October 2014
TIME:		Various time slots available
INCENTIVE:		£50.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Have you been diagnosed with Type 1 OR Type 2 diabetes? Please specify.

Which of the following types of treatment do you currently take for your diabetes?

Insulin injections (please specify if you are using a prefilled disposable pen, disposable cartridge pen or syringe)
Other injections
Tablets
Other (please specify)

If you use injectable medication, please tell us what type of pen you are using.

Novo Pen
Humapen Luxura
Clickstar
Other (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