MARKET RESEARCH – Project Penelope - Diabetes

We are looking for people who have been diagnosed with Diabetes to take part in a group discussion for 1 hour in London about diabetes.

LOCATION:		London, W6
DATE:		Monday 2nd, Tuesday 3rd or Wednesday 4th February 2015
TIME:		Various daytime slots available
INCENTIVE:		£50.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Occupation:

Age:

What type of diabetes have you been diagnosed with?

Which of the following type of medication are you taking for your diabetes?

Tablet
Insulin injections
Non insulin injections

Please tell us the name/s of the medication/insulin that you are taking.

If you are taking injectable insulin, please tell us the name of the insulin pen that you are using

FlexPen
FlexTouch
KwikPen
Solostar
Other – Please specify

Which of the following best describes when you inject insulin?

Only before meals
I have just 1 injection a day – not associated with meals
I have 2 injections a day – not associated with meals
I have 1 injection + insulin before meals
I have 2 injections + insulin before meals

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