Introduction

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Introduction

Just Worldwide, a global market research firm, is looking to understand the journey and experiences of patients diagnosed with Type-1 Diabetes.

We are looking for patients living with T1D to talk about their story with us. We are also interested in talking to any caregivers willing to participate with their loved one.

We are looking for folks to participate in a 60-Minute Interview over the phone with one of our team members to chat through your story

Interviews will be scheduled for late February and early March, our team is flexible so we are happy to find a time that works best for you.

After your participation, we would provide a modest honoraria as a token of our appreciation for your time.

If you are interested, we would appreciate you completing the short survey below to confirm a few details about yourself.

If you have any questions or would like to learn more about the study, please contact Bjorn Stowers: Bjorn@just-worldwide.com

S1. Are you, or any member of your household, working for any of the following? *

For an advertising agency or public relations firm with clients in the pharmaceutical industry

For a market research firm or the market research department of a company

For a marketing firm or the marketing department of a company related to pharmaceutical products

Centers for Disease Control and Prevention

For a company that is involved in the manufacturing, distribution or sales of medications, pharmaceuticals, medical products or medical equipment

For an online health or medical service provider

Healthcare profession or in a doctor’s office, pharmacy, clinic, or hospital

The US Federal government or any state or local government

For a communication or news organization

None of the above

S2A. In the last month, have you been involved in any market research? *

Yes

S2B. What was the topic of market research your participated in the last month?

Type 1 Diabetes

Other

I have not participated in market research in the last month

Clear selection

S3 We will be asking about medical conditions that may have a genetic component. Have you or one of your immediate family members been diagnosed with any of the following chronic health conditions by a healthcare professional?

1. I have been Diagnosed

2. A biological child has been diagnosed

3. An immediate (biological) family member has been diagnosed (not a biological child)

Type 1 Diabetes

Type 2 Diabetes

ADHD or ADD (Attention deficit/hyperactivity disorder)

Cystic Fibrosis

Asthma

If you have children of your own (biological children) between the ages of 8 and 17 living in your household, please enter the number under ‘other’. *

I do not have Children

I prefer not to answer

Other:

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