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H.1517-0519 Heart Attack

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What is your name, contact number and email address?
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Please tell us your age.
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Are you...
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What is your working status?  
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If applicable, what is your occupation? 
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Are your details currently registered with us? If you haven't, please do so here http://https://www.healthcareopinions.co.uk/
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Do you or a close member of your family work for a market research institute, a pharmaceutical or medical device as an employee or in any advisory capacity?

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Have you participated in a market research study on medical injection devices within the past 3 months?
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Have you experienced a heart attack or symptomatic heart attack within the last 6 years? 
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What is your relation to this person? 
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When was your / their heart attack or symptomatic heart attack?
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Were you/ they treated in either a hospital or emergency department? 
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Do you currently administer injections to yourself or to another person with an injection device? 
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Are you right or left handed?
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Do you wear glasses or contact lenses for any of the following? 
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Do you have impaired motor skills in your hands? (For example, do you have issues with gripping small items such as coins or performing tasks such as opening bottles) 
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What is your highest educational level? 
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Have you administered to yourself or to another person injections on a regular basis within the past 12 months?