MARKET RESEARCH – Project Insulin Pens

We are looking for people aged 20 – 75 who have been diagnosed with Diabetes to take part in a group discussion for 2 hours in London about diabetes.

LOCATION:		London W1
DATE:		Wednesday 11th February or Thursday 12th February 2015 (depending on answers)
TIME:		5pm (11th Feb) or 10.30am (12th Feb) – depending on answers
INCENTIVE:		£80.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Occupation:

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.

Please tell us the name/make of the insulin pen that you are using.

Please tell us if this insulin pen is pre filled, non-pre filled, disposable, reusable, etc...

Which of the following applies to you?

I use a new needle for each injection
I use the same needle for more than one injection

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