UK Compensated Research Pre-screener SIS Research is conducting compensated interviews and are interested in the opinions of consumers. We are providing a £150 if you qualify and complete a 2 hour Zoom video chat interview. The topic is about opinions on Electric Wheelchairs. The interview is for research purposes only.We would first like to see if this study is a match. Please complete a short pre-screening survey to be considered for this research. OK Question Title * 1. Please let us know how we may get in touch with you Name City/Town Country Email Address Phone Number OK Question Title * 2. What is your age? OK Question Title * 3. Please tell us the distance you can walk on your own. I cannot walk. About 0.1 mile About 0.5 mile About 1 mile About 1 mile and above OK Question Title * 4. Please tell us your current or last occupation? OK Question Title * 5. What is your marital status? Single (including divorced, widowed) Married Other Other (please specify) OK Question Title * 6. Please select all the family members who are currently living in the same household. Living alone My spouse My children My grand-children My father and mother (including parents-in-law) My grandfather and grandmother (including grand parents-in-law) My siblings Others (please elaborate) OK Question Title * 7. How interested are you in electric wheelchairs? I currently use an electric wheelchair I plan to purchase one I am thinking about purchasing one I am interested in electric wheelchairs I am not interested in electric wheelchairs OK Question Title * 8. Please tell us all of the equipment you use for mobility. Electric wheelchair, standard Electric wheelchair, folding Electric wheelchair, power seat (tilting, reclining) Electric wheelchair, steering type / scooter Manual wheelchair Walker Cane OK Question Title * 9. Please tell us the transportation you have ever used on while using an electric wheelchair. Subway Bus Airplane Taxi My family car OK Question Title * 10. Please tell us your hobbies or what you would like to do in the future. While working Shopping Restaurant or sports bar Movie theater, theater or concert hall Walks with family, friends or pets Commuting to school, work or the hospital Doing housework or hobbies at home At the gym or for sports Traveling by plane or train Traveling by car Zoo, museum or art gallery Watching sports at a soccer field or baseball stadium Events such as concerts Recreation or community activities Other (please specify) OK Question Title * 11. Please indicate your experience using an electric wheelchair and why you use the make/model currently using OK Question Title * 12. Please include a link to your social media (facebook, Instagram...) If you do not have a social media profile please email us a photo to sisfieldwork@sisinternational.com OK Question Title * 13. Do you belong to any support groups? Please Specify OK Thank you for completing our survey OK DONE
