MARKET RESEARCH – Project Asthma and COPD – Children and adults

We are looking for children and adults who have been diagnosed with Asthma or COPD to take part in an interview for 30 minutes in London W6.

You will be required to bring your medication or a copy of the prescription to the interview.
 

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Occupation:

FOR ADULTS:

Which of the following have you been diagnosed with?

• Asthma
• COPD

Do you use a maintenance product/medication to help manage your condition? Yes/No?

What is the name of the inhaler device that you currently use?

What is the name of the medication that you use for your maintenance therapy, if applicable?

How long have you been using a maintenance product/medication for your condition, if applicable?

FOR CHILDREN: (your child will be required to attend the interview with you)

How old is your child?

Does your child use a maintenance product/medication to help manage their Asthma? Yes/No?

What is the name of the inhaler device that your child uses?

What is the name of the maintenance medication that your child takes to help manage their Asthma, if applicable?

Is your child?

• Male
• Female

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