Plaza Research is conducting a research study for Diabetics nationwide. After looking over our requirements below (and if you fit into them!), please email us at
infolv@plazaresearch.com with your responses to the questions below. Please note that all qualified responses will be returned on a first come, first served basis until the study is full.
***Please forward this email to anyone you think may qualify! Referrals welcome and appreciated!***
Subject: TYPE II DIABETES
Who: Men and women nationwide 45-65 diagnosed with Type II Diabetes by a medical physician
Date: week of July 9th * July 16th
Length: 5 business days
Honorarium: $200
Location of study: In the leisure of your own home where you MUST have a high speed Internet connection
Please reply via email (infolv@plazaresearch.com) to the following questions in order to be considered:
1.) Full Name
2.) Daytime Phone Number
3.) Evening Phone number
4.) Job Title/Industry
5.) Ethnicity
6.) Age
7.) Number of prescription drugs, if any, that you are currently taking for any medical condition including you diabetes?
Number:________________
8.) Have you ever been on insulin or Byetta as treatment for your Type 2 diabetes? Please place an "X" next appropriate the answer.
1. Yes
2. No
9.) How are you currently managing your type 2 diabetes? Please place an "X" next to the appropriate answer
1. Diet and exercise only
2. Single oral medication
3. Two oral medications
4. Three or more oral medications
5. A combination of oral medications and injections
6. Insulin only
10.) Using a 7 point scale where 7 is Extremely Important and 1 is Not at all Important how important is it to you to be open minded about new drugs and treatments:
Enter Response (i.e. 7):__________________
11.) Using a 7 point scale where 7 is Strongly Agree and 1 is Strongly Disagree how much do you agree that..? (Please include you response below for each statement)
1.You follow the doctor's instructions thoroughly
Enter Response : _______________
2. You are in control of your health
Enter Response : _______________
3. You find it easy to eat right
Enter Response : _______________
12.) Using a 7 point scale where 7 is Extremely Important and 1 is Not at all important how important to you isS?
1. Enjoying life and doing things because I like them
Enter Response : _______________
2. Having fun or having a good time
Enter Response : _______________
2. Having freedom of action and thought
Enter Response : _______________
13.) Using a scale of 1 to 6 where 6 is Very Often and 1 is Very Rarely. How often do you visit the doctor for check ups?
Enter Response : _______________
14.) Using a 7 point scale where 7 is Strongly Agree and 1 is Strongly Disagree. How much do you agree that you find it east to eat right.
Enter Response : _______________
15.) How often in the past 12 months did you exercise to keep fit? (for example, running, walking, yoga, working out)? Please place an "X" next to appropriate answer.
1. Everyday or most days
2. At least once a week
3. At least once a month
4. Less Often
5. Never
Please noteSPLEASE DO NOT CALL. Please reply via email at
infolv@plazaresearch.com only for consideration. Thank you!
To view our disclaimers, click here:
http://www.iopinion.com/forms/people/disclaimers.html
Plaza Research is conducting a research study for Diabetics nationwide
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