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H.1893-0321- Long-Term Health Conditions

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/

(This question is mandatory)
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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Please select the option that applies to you:
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Have you / your child been diagnosed with any of the following conditions? 
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Please briefly describe the symptoms of your / your childs long-term health condition.
If you are applying on behalf of your child, please state their age.
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What is the highest level of education you / your child has completed?
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What medications are you / your child currently taking to treat the condition? 
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Are you currently using any of the following devices to administer your / your childs medication? 
(This question is mandatory)
When was the last time that you/your child used an injection device to administer medication to themselves or someone else? 
(This question is mandatory)
Do you / your child have experience (self-)administering medication?
(This question is mandatory)
Do you / your child have any of the following impairments?
(This question is mandatory)
Which hand is your / your childs dominant hand?
(This question is mandatory)
Are you happy to attend a usability session consisting of 45 minutes training, 1 hour break and 1 hour 30 minutes evaluation?
(Participants aged 12-17 must attend with a parent/chaperone)