Understanding Physical Activity – focus groups with public

Understanding Physical activity – telephone interviews with people living with diabetes

We are delighted that you are interested in being a participant in the physical activity telephone interviews. We will select participants who differ in gender, age, ethnic background and activity level. As such we would love to know a bit more about you in the short questions below.

Please describe, in a couple of sentences, why you are interested in participating in the telephone interviews.

Please indicate your gender

FemaleMaleOther

Do you have a Type 1 or Type 2 diabetes?

Type 1Type 2Prefer not to say

How would you describe yourself?

Very activeModerately activeRarely activeNot active

Your contact details

Please provide your name and contact details below. Once we have received your information we will be in touch shortly.

Name

First name

Last name

Phone

Email

I would prefer to be contacted via

TelephoneEmail

Thank you!

Many thanks for your support so far. We will be in touch shortly. If in the meantime you have any questions please contact Paula Wittels by email on paula.wittels@brunel.ac.uk or by text on 07785 242558.

This research was approved by Brunel University London’s College of Health and Life Sciences Research Ethics Committee on 1 April 2019.