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H.1938-0621 Migraine

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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Do you or anyone in your household work in any of the following industries?
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Have you taken part in any market research in the last 6 months?

If yes, what was the topic(s)?

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Have you been diagnosed with a medical condition by a healthcare professional?
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Please select with type of Migraine you have been diagnosed with.

If other, please specify in comment box

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Do you currently inject medication for the above condition(s)?

If you have been diagnosed with multiple conditions, please use the comment box to describe which condition you are injecting for 

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What type of  injection device do you use currently?

Autoinjector: A single-use pre-filled device with a fixed amount of drug. The patient applies pressure to the injection site or presses a button to trigger the needle to inject. The needle is never visible as it is always protected by a a shield.   (e.g. include treatment for RA, MS, Epi-Pens)


Pen/ Insulin Pen: The patient is able to set a dose depending on medication requirement. Patient is required to activate a push-button, which triggers the needle to inject. Pens are normally reusable and have a replaceable needle. Often used for insulin


Pre-filled syringe: A single-use syringe pre-filled with a fixed amount of drug with a cap over the needle - the needle is visible when the cap is removed. 

(This question is mandatory)
Although you will NOT be injecting yourself during this study, are you someone who is willing and able to receive injected medications?
(This question is mandatory)
Are you right or left handed?