MARKET RESEARCH – Project Moment

We are looking for people who have been diagnosed with Diabetes to take part in a research for 1 hour in London about injections and injection devices.

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Occupation:

Which type of Diabetes do you have?

• Type 1
• Type 2

Which medication do you currently take for your diabetes?

If you take insulin, please specify the name of the insulin/s that you take.

What make of insulin pen do you use for your injection? I.e. FlexPen, FlexTouch, Novopen, Kwikpen, Solostar, etc…

Please tell us if your insulin pen is disposable or refillable.

How many times a day do you inject insulin?

What times of day do you inject insulin?

Have you ever experienced an occasion where you asked yourself “did I take my medication?”  - Yes/No?

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