Needle set survey for Patients / Parents/ Carers / Health Care Professionals

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Q1) I give my consent for my anonymised data to be used
YesNo
Yes
No
Q2) Are you a patient, parent, carer, or Healthcare professional (HCP)?
PatientParentCarerHealthcare professional (HCP)?
Patient
Parent
Carer
Healthcare professional (HCP)?
Q3) Please tick the box that corresponds to your condition or your loved one
ThalassaemiaSickle cellOther
Thalassaemia
Sickle cell
Other
Q6) Have you or your patient/loved one been using any other needle set other than neria or thalaset?

The following questions are based on the neria (thalaset)

Q7) How would you rate your experience in inserting the neria thalaset needle set
Very difficultDifficultNeutralEasyNot painful
Very difficult
Difficult
Neutral
Easy
Not painful
Q9) How would you or your patient/loved one the pain at the time of insertion with the neria
Extremely painfulPainNeutralNot very painfulNot painful
Extremely painful
Pain
Neutral
Not very painful
Not painful
Q11) How would you rate the overall scarring on your (or your patient/loved one) body from using the neria needles?
Severe scarringModerate amount of scarringNeutralLittle scarringNo scarring
Severe scarring
Moderate amount of scarring
Neutral
Little scarring
No scarring
Q12) How would you rate the number of painful bumps you (or your patient/loved one) have at the injection sites from using the neria needles?
A lot of painful bumpsA moderate number of painful bumpsNeutralA few painful bumpsNo painful bumps
A lot of painful bumps
A moderate number of painful bumps
Neutral
A few painful bumps
No painful bumps
Q14) Did you or your patient/loved one experience any medication leakage with the neria thalaset? Yes / No
YesNo
Yes
No
Q15) How easy was for you or your patient/loved one to shower/bath with the new needle set (Neria thalaset)?
Very difficultDifficultNeutralEasyVery easy
Very difficult
Difficult
Neutral
Easy
Very easy
Q18) Did having the neria thalaset needle set affect your (your loved one/patient) daily activities?
YesNo
Yes
No

Neria Guard (new needle) to be answered by individuals who have tried the new needle.

Q24) How would you rate your experience in inserting the neria guard needle set
Very difficultDifficultNeutralEasyVery easy
Very difficult
Difficult
Neutral
Easy
Very easy
Q25) How would you (or your patient/loved one) rate the pain at the time of insertion with the neria guard -new needle set
Extremely painfulPainfulNeutralNot very painfulNot painful
Extremely painful
Painful
Neutral
Not very painful
Not painful
Q28) How would you rate the overall scarring on your (or your patient/loved one) body from using the neria guard -new needle set?
Severe scarringModerate amount of scarringNeutralLittle scarringNo scarring
Severe scarring
Moderate amount of scarring
Neutral
Little scarring
No scarring
Q29) How would you rate the number of painful bumps you (or your patient/loved one) have at the injection sites from using the neria guard -new needle set?
A lot of painful bumpsPainful bumpsNeutralA few painful bumpsNo painful bumps
A lot of painful bumps
Painful bumps
Neutral
A few painful bumps
No painful bumps
Q31) How would you rate your (or the patient/your loved one’s) experience when moving around with the neria guard ( new ) needle set?
Severely affectedModerately affectedNeutralSlightly affectedNot affected
Severely affected
Moderately affected
Neutral
Slightly affected
Not affected
Q32) How would you rate your (or the patient/your loved one’s) experience when lying down with the neria guard ( new ) needle set?
Extreme DiscomfortModerate DiscomfortNeutralComfortableVery comfortable
Extreme Discomfort
Moderate Discomfort
Neutral
Comfortable
Very comfortable
Q33) How would you rate your (or the patient/your loved one’s) experience when sitting down with the neria guard ( new ) needle set?
Extreme DiscomfortModerate DiscomfortNeutralComfortableVery comfortable
Extreme Discomfort
Moderate Discomfort
Neutral
Comfortable
Very comfortable
Q34) Did you or your patient/loved one experience any medication leakage with the neria guard (new needle)?
YesNo
Yes
No
Q35) How easy was for you or your patient/loved one to shower/bath with the Neria guard new needle set?
Very difficultDifficultNeutralVery easyEasy
Very difficult
Difficult
Neutral
Very easy
Easy
Q38) Did having the new needle set (Neria Guard) affect your (your loved one/patient) daily activities?
YesNo
Yes
No

Thank you for participating in this survey!