We're looking for #hip & #knee surgery patients/caregivers for a study. Help us improve #healthcare !!! http://t.co/JU6kWPCa6f
1/14/14 11:22 AM
Go to this link to complete and submit your information and selected participants receive a complimentary ConsumerReports.org subscription!*
(Example Only) User Questionnaire
Thanks for your interest in our Hip & Knee Surgery study. This short questionnaire verifies your eligibility for an upcoming customer interview. The interview will help us better understand your needs in order to incorporate them into a new product we're developing.
Interviews will be held over a Google Hangout or telephone. If you’re interested in participating, please complete the questionnaire below. If you're selected, we’ll be in touch directly to discuss details and set your appointment time.
Details of the study:
- The duration of the interview is 30 minutes
- Participants will receive a complimentary ConsumerReports.org subscription*
To participate you will need to:
- Be at least 18 years old
- Allow us to video or audio record the session
* Please note that you will receive the complimentary subscription only if you are selected as a participant and attend the interview.
Thank you for your time.
Patricia Ju, Shane Shelley, and Chris Baily
Technology Innovation Center
1. Availability * Mark ALL time slots for which we could schedule an appointment with you.
2. First and last name: * Best email address to reach you: * Best phone number to reach you: * What state do you currently reside in? Gender: *
Prefer not to say
3. Age: *
Prefer not to say
4. What experience do you have with Hip or Knee Surgery? * Caregiver is an individual, such as a parent or child, who attends to the needs of a child or dependent adult
Currently considering Hip or Knee Surgery
Currently a caregiver for a candidate for Hip or Knee Surgery
Recently had Hip or Knee Surgery
Curious about information on Hip or Knee Surgery