ID
What country do you live in?
PAYS
*
United Kingdom
Other countries
Please note that you have just indicated that you do not reside in the United Kingdom, you cannot participate in this survey.
You have just scanned a QR code to answer a questionnaire which is rewarded with £5 in the form of an Amazon e-gift card.
Can you confirm that you
have recently
used or benefited from the physiological solution that was in the box you just scanned? And/or do you confirm that you have
recently
used for
your child
, or
has
your child
recently
used alone, the physiological solution that was in the box you just scanned?
QUEST_01
*
No
Yes
Thank you for completing this first question. However, you do not meet the criteria for participate in this survey.
First of all, please read the information note below carefully.
CONSENT
1. You are an adult 18 years of age or older and you have used or are currently using MULTIPURPOSE ISOTONIC for yourself, or a third party has applied or is currently applying MULTIPURPOSE ISOTONIC to you, 2. You are an adult aged 18 or over and you have used or are currently using MULTIPURPOSE ISOTONIC solution for your child under the age of 18. You confirm that he/she has read and understand this information leaflet, or the simplified information leaflet below which is intended for children under the age of 12 who are able to understand its contents, 3. You are an adult aged 18 or over and your minor child under the age of 18 has used or is currently using MULTIPURPOSE ISOTONIC solution alone. You confirm that you have read or that your child has read and understand this information leaflet, or the simplified information leaflet below which is intended for children under the age of 12 who are old enough to understand its contents, Having read the information note(s) and the three paragraphs above, do you consent to the collection and processing of personal data as part of this survey for the situation(s) that concern(s) you?
Sans titre
*
No
Yes
Please note that you have just indicated that you do not consent to the processing of personal data, you may not participate in this survey.
How old are you?
*
Please note that you have just indicated that you are under 18 years old, you cannot participate in this survey.
You are?
*
A man
A woman
How has the physiological solution been used
recently
? (Multiple answers possible)
Sans titre
*
You have manipulated the physiological solution AND you have applied it to yourself
You have handled the physiological solution AND applied it to your child under the age of 18
Your child under the age of 18 has manipulated the physiological solution, applied it to himself, and you question him in the of this survey
A relative or healthcare professional has handled the physiological solution AND applied it to you
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CA1
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CA2
*
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CA3
*
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CA4
*
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SE
*
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URL