MARKET RESEARCH – Project Cancer Support

We are looking for people who have been diagnosed with cancer and are either currently undergoing treatment or have survived cancer and carers of cancer sufferers, to take part in an in home interview for 90 minutes about cancer support services.

LOCATION:		In home
DATE:		Dates vary from Monday 16th March to Friday 27th March 2015
TIME:		Times to be arranged
INCENTIVE:		£50.00

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Occupation:

Occupation of chief income earner in the household:

Who do you live with in your household?

If you have children, please tell us their ages.

Have you ever been diagnosed with cancer yourself?

Do you care for someone that has been diagnosed been diagnosed with cancer?

If you have been diagnosed with cancer, which of the following statements applies to you currently?

Diagnosed with cancer but have not yet started treatment
Undergoing treatment currently
Finished treatment and have no active symptoms of cancer or long term effects of cancer treatment
Finished treatment and living with long term effects of cancer treatment
Living with advanced/progressive cancer (cancer that cannot be cured)
Terminal cancer
Other situation – Please specify

How long ago were you diagnosed with cancer?

What type of cancer have you been diagnosed with?

If you care for someone with cancer, what cancer has been diagnosed and when was it diagnosed?

What treatment have you/the person you care for undergone?

Surgery
Chemotherapy
Radiotherapy
Immunotherapy
Herceptin/Avastin, etc..
Hormonal therapy i.e. Tamoxifen, etc...
Stem cell/bone marrow transplant
Other treatment – Please specify

Is/Was the treatment received?

NHS
Private
Mix of both

Which of the following pharmacies do you shop in?

Superdrug
Boots
Lloyds
Supermarket pharmacy

Which of the following have you spoken to with regards to cancer and support?

Macmillan Nurse
Boots Macmillan Information pharmacist
Boots Macmillan Beauty advisor
Marie Curie Cancer care nurse
Maggie’s online support service
Other – Please specify

If yes to any of the above, please tell when you last spoke to these advisors.

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