Long-term Health Conditions

Ethnic origin

White British/English/Welsh/Scottish/Northern IrishIrishGypsy or Irish travellerWhite EuropeanOther white backgroundWhite & Black CaribbeanWhite & Black AfricanWhite & AsianOther mixed ethnicityIndianPakistaniBangladeshiChineseOther Asian backgroundAfricanCaribbeanOther black backgroundArabAny other ethnic group

Have you taken part in any market research discussion before?

YesNo

How many market research discussions have you taken part in, in the past 6 months and in the past 12 months?

What subjects were researched?

Have you ever been employed in any of the following occupations?

Market ResearchMarketing or advertisingJournalism/MediaInternational developmentHealthcareSport/physical activityPublic relationsAcademia/universitiesNone of these

Do you consent to the focus group being audio recorded (this will be used for internal analysis only and your responses will remain anonymous)?

YesNo

Which of the following best reflects your current employment status?

Working full-timeWorking part-timeStudentNot working, not studying, and not seeking workRetiredNot working, but seeking work or temporarily unemployed or sick

Which of the following best describes your family status?

I have a child/ children aged under 16 living with me at homeI do not have any children aged under 16 living with me at home

Which of the following best describes your marital status?

SingleMarriedDivorcedOther

Which of the following best describes where you live?
Urban/city/large townSmall town/suburbanVillage/rural

Do you have a long-term illness, health problem, disability or impairment that limits your daily activities?
YesNo

When were you diagnosed?

Which of the following best describes your condition? (Record all that apply):
Mental health problemsSocial or behavioural issuesCancer (breast, lung, colorectal)Cardio-vascular disease, e.g. stroke, hypertension (high blood pressure), coronary artery disease, heart attack, anginaRespiratory disorder, e.g. asthma, COPD, cystic fibrosisNeurological, e.g. multiple sclerosis, Alzheimers, Parkinsons’ Disease, EpilepsyMusculoskeletal, e.g. arthritis (rheumatoid, osteoarthritis), fibromyalgia, back and neck painDiabetes – Type 2Diabetes – Type 1I suffer from a long term health condition, that doesn’t fit any of the aboveDon’t knowPrefer not to say

You said you have a long-term health condition. Which of the following symptoms do you experience, and how often?

Daily
Muscle or joint painJoint stiffnessMobility issues due to illness, impairment or painFatigueMuscle weakness/lack of strengthShortness of breathDizzinessOtherI do not experience symptoms

Weekly
Muscle or joint painJoint stiffnessMobility issues due to illness, impairment or painFatigueMuscle weakness/lack of strengthShortness of breathDizzinessOtherI do not experience symptoms

Monthly
Muscle or joint painJoint stiffnessMobility issues due to illness, impairment or painFatigueMuscle weakness/lack of strengthShortness of breathDizzinessOtherI do not experience symptoms

Less than monthly
Muscle or joint painJoint stiffnessMobility issues due to illness, impairment or painFatigueMuscle weakness/lack of strengthShortness of breathDizzinessOtherI do not experience symptoms

In the past week, on how many days have you done a total of 30 mins or more of moderate-intensity physical activity, which was enough to raise your breathing rate?
This is activity enough to raise your breathing rate, and may include sport, exercise, brisk walking, cycling for recreation or to get to and from places, but should not include housework or physical activity that is part of your job.

0 days1 day2 days3 days4 days5 days6 days7 days

In the past month, on average how much moderate-intensity physical activity have you done each week?
This is activity enough to raise your breathing rate, and may include sport, exercise, brisk walking, cycling for recreation or to get to and from places, but should not include housework or physical activity that is part of your job

NoneUp to 30 minutes per weekBetween 30 to 59 minutes per weekBetween 60 to 119 minutes per week (1 – 2 hours)120 – 150 minutes per week (2 - 2.5 hours)More than 150 minutes per week

I am now going to ask you about how often you do various different activities.

Walking for more than 30 minutes at a time
FrequentlyOccasionallyRarelyNever

Sitting down at a desk or workplace for extended periods (>3hr per day)
FrequentlyOccasionallyRarelyNever

Getting at least 7hrs sleep per night
FrequentlyOccasionallyRarelyNever

Going for long walks (>30 minutes)
FrequentlyOccasionallyRarelyNever

Driving for extended periods (>1hr)
FrequentlyOccasionallyRarelyNever

Strengthening exercises (e.g. yoga, push-ups, lifting weights)
FrequentlyOccasionallyRarelyNever

Looking at screens (e.g. laptop, computer, TV) for extended periods
FrequentlyOccasionallyRarelyNever

Socialising with friends and/or family
FrequentlyOccasionallyRarelyNever

Do you have any needs or requirements that you would like us to consider for the research (Eg. dyslexia, wheelchair use)?
YesNo

We would like to conduct the interview with you in your home. Will this be possible?
YesNo

To complete the diary exercise online, you will need to access an internet-enabled device. Do you personally own or have access to one of the following to use for this purpose?
Smartphone or other internet-enabled phoneTablet/iPadLaptopDesktopI do not own an internet-enabled device, and would prefer to complete online diary via pen and paper

We are conducting the interviews on Tuesday 10th and Wednesday 11th March. Interviews will last 45 minutes. Which day would you like to be interviewed?

Tuesday 10th March Wednesday 11th March

What time would you like to be interviewed?

Alternate date and time... in case first choice is not practical?