Project CKD

Market Research

We are looking for males/females aged 55-70 who has Chronic Kidney Disease (CKD) to take part in a Face to Face interview for 6 hours in Own Home and a 7 day blog for 5 minutes per day.

Venue	- Own Home
Date	- w/c 23rd September 2013
Incentive	- £150

Please answer the questions below.

Name:

Telephone Number:

Postcode:

Age:

Please state when you received your first Dialysis?

Are you currently Dialysed?

If you are, what type of Dialysis are you currently on i.e., Hemodialysis, Peritoneal Dialysis, Hemofiltration etc?

If you are currently taking Phosphate Binder Compound, please state i.e., Renegal, Fosenal, Osvaren etc?

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