Marie Curie Research

Ethnicity
WhiteAsian/Asian BritishBlack AfricanBlack CaribbeanBlack BritishMixed/multiple ethnic groupsOther ethnic group

Do you or anyone in your household work in any of the following occupations/industry?

Advertising/CopywritingMarketingJournalismPublishingMarket ResearchPublic RelationsMediaCharitiesInvolved in end of life/terminal illness careNone of these

Do you fall into any of the following categories?
I haven’t directly had experience of terminal illness within my friendship group/familyYes, I am currently living with a terminal illness myselfYes, some in my current friendship group/family is living with a terminal illnessYes, I have lost someone to a terminal illness within the past yearYes, I have lost someone to a terminal illness over a year agoNone of the above really describe my situation

You mentioned you know/knew someone with a terminal illness…. Who is/was the person?
Someone I know/knew directly/closely and am/was involved with the care of/decision making forSomeone I know/knew directly but I am not/was not involved with the care of/decision making forSomeone I primarily know/knew through another person, and I am/was not involved with directly (eg. the partner of friend, the friend of a friend)I don’t/didn’t really know the person directly – it is someone that a close friend/relative is/was involved with, and they speak to me about the situation

What is the relationship of the person who is /was unwell to you?
ParentPartnerSiblingChildAunt/UncleCousinAnother relation (not listed)FriendFriend of a friend/relativePartner of a friendOther – please explain (colleague, teacher, neighbour etc)

Would you mind sharing what illness they are/were affected by?

Do you identify with any particular faith/religion?
No religionEvangelical Christian (including Church of England, Catholic, Protestant and all other Christian denominations)Christian – Non-Evangelical Christian (including Church of England, Catholic, Protestant and all other Christian denominations)BuddhistHinduJewishMuslimSikhOther

How often do you attend religious of worship services, not including weddings and funerals?
More than once a weekOnce a weekOnce or twice a monthA few times a yearSeldomly

How do you feel about the following charities?

Macmillan
No real opinionFeel positiveFeel negative/have had a bad experience

Marie Curie
No real opinionFeel positiveFeel negative/have had a bad experience

Cancer Research UK
No real opinionFeel positiveFeel negative/have had a bad experience

Alzheimer’s Society
No real opinionFeel positiveFeel negative/have had a bad experience

Which category you would class yourself in about internet usage (please think about accessing the internet on either your phone, on a desktop computer, on a laptop or a tablet)
Heavy user – Several times a day or at least once a dayModerate user – A few times a weekLight user – Between once a week and once every two weeksVery light user – Not more than once a month and sometimes once every few monthsNon user – I don’t use the internet on any device

Would you be happy to be re-contacted about this project if necessary?
YesNo

Which group would you like to attend?

Group 1: Closely and currently affected by terminal illness - 6.00pmGroup 2: Actively practising a religion - 8.00pm