MARKET RESEARCH - COPD - Birmingham

We are looking for people who have been diagnosed with COPD to take part in a group discussion in BIRMINGHAM for 2.5 hours about COPD.

LOCATION:		Birmingham, B15
DATE:		Tuesday 4th November 2014
TIME:		Various time slots available.)
INCENTIVE:		£60.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Nationality:

Occupation:

Occupation of head of household:

Have you ever smoked? If yes, please tell us for how long you smoked and how many you smoked per day.

How long ago were you diagnosed with COPD?

Would you say that your COPD is mild, moderate or severe?

Are you currently taking a prescribed medication for the treatment of your COPD?

How long have been taking medication for your COPD?

Please tell us all the names of all the medications that are currently taking for your COPD.

Please tell us the names of any medications that you have taken in the past for your COPD.

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