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H.1997-0921

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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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Which of the following best describes you?

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What is your working status?  
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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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What is your current occupation, or your prior occupation if you are not currently working?

 
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Have you been diagnosed with a condition that causes you dexterity limitations, if so, what is this condition? 

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How long ago were you diagnosed with your condition? 
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Do you have any of the following ?
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Do you have injection experience? 
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If applicable, please can you tell us the medication/ device ( such as autoinjector/ pen injector) you use currently /in the past ? 
 

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