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H.1903-0421 Medication Evaluation

You are about to fill in a short survey which will help determine your suitability to this research project. Please be aware that all data you provide us with will be held in accordance with the data protection policy outlined on our website. For further information please visit https://www.healthcareopinions.co.uk/privacy-policy/

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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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Where did you hear about this research participation opportunity?
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Which of the following desribes you...
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Please tell us your relation to the child or children...
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Please tell us how often you provide care and support to this child or children? 
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Please tell us the age(s) of the child(ren) you provide care and support to...
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Have you been diagnosed with any healthcare conditions by a healthcare professional? 
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Has the child aged 12-17 been diagnosed with any healthcare conditions? 
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Please tell us the healthcare condition you have been diagnosed with...
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Please tell us the healthcare condition the child that you provide care and support to has been been diagnosed with? 
Does your medical condition require you to take medication?
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Does your child's health condition require them to take medication? 
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Please tell us the medication they take and in what form, e.g. tablets, inhaler, injection...
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What medication are you currently taking? And how are you taking it, e.g. tablet, inhaler or injection?
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How often do you take this medication? 
How often does your child take this medication? 
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Which of the following best decribes how you take your medication...
Is your child able to administer their own medication unaided? 
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How long have you been taking this medication? 
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How long has your child been taking this medication? 
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Do you have an impairment that affects the use of your hands?

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Are you right or left handed? 
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Do you use glasses or contact lenses to read?
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To what level have you completed education?

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Are you currently pregnant?
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Have you participated in a market research discussion on pharmaceutical products within the last 6 months? 
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Does anyone in your household work in any of the following occupations...
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Are you happy to attend the session with your parent/ guardian? 
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Do you have any objections to being audio and video recorded? 
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Are you happy to be recontacted regarding the research?