Healthcare Research request form

In order to support you in the most efficient way we would very much appreciate it if you could quickly clarify the following general issues:  
  • General background/key objectives of your project (for intro letter)
  • Target groups/"kick out criteria"
  • Sample size: Number of interviews/countries to be covered
  • Length of interview (to consider incentives)
  • Interviewers (your team or our team)
  • Time frame/deadline for the survey (your availability/CET?)
 
After your first input we will be able to provide you with a preliminary cost estimate. Please send your initial request to healthcare@pisacane.com or use the form on the right.  
 
Healthcare request form

Please fill out this fieldName:
Please fill out this fieldE-Mail:
Phone:
Company:
Please fill out this fieldMessage:
Background/objectives:
Target group:
Sample size:
Length of interview:
Deadline:
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