MARKET RESEARCH – Project General

We are looking for people aged 35-60 who suffer from heartburn, acid reflux or acid indigestion to take part in an in home interview for 75 minutes.

LOCATION:		In Home
DATE:		Tuesday 3rd February or Wednesday 4th February 2015
TIME:		Various times available TBA
INCENTIVE:		£50.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Which of the following have you suffered with in the last 3 months?

Heartburn
Acid Reflux
Acid Indigestion

How often do you suffer with symptoms of heartburn, acid reflux or acid heartburn?

For how long have you suffered with these symptoms?

Which of the following types of medication do you use to treat your symptoms?

Over the counter non-prescription antacids
Other over the counter medications
Prescription medication
Natural remedies
I do not take anything for the symptoms

Which of the above types of medication do you use most often?

Which of the following brands, if any, do you buy to treat your symptoms?

Altacite
Alka-Seltzer
Bisodol
Eno
Gaviscon
Maalox
Milk of Magnesia
Pepto-Bismol
Remegel
Rennie
Resolve
Setlers
Tums
WindEze
Gavilast
Omeprazole
Pantoloc Control
Pepcid Two
Zanprol
Zantac 75

Thinking of occasions when you experience an episode of heartburn/acid reflux/acid indigestion, how many times of those occasions do you treat your symptoms with medication? I.e. on every occasion, only when it is really bad, etc...

Which of these statements do you agree with?

I feel like I have my heartburn/acid reflux/acid indigestion condition under control
I feel like I my heartburn/acid reflux/acid indigestion is not under control

How satisfied are you with the current treatment that you take for your symptoms?

If you could go anywhere on holiday, where would you go and why?

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