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Stem Cell Questionaire

Posted Dec 04 2012 6:15am
Written by Sickle Cell Warrior on 04 December 2012

Hey everyone, we have been asked to involve the community in a research sampling. We just need a few participants to answer the questions below, and email it back to us. We will then forward to the researcher. Please email tosin@sicklecellwarriors.com with the answers. Try to use the same format, and just include your answers.  Thanks

This questionnaire will contribute to an EPQ qualification, which is a research project done in the sixth form. The results will be kept confidential and only used for the purpose of the project. Participants have the right to withdraw at any time.

 

Age: ………….              Gender: ………………..

 

Please tick.

 

Medication  
Gene therapy  
Bone marrow transplant  

 

 

 

If other, please specify …………………………………………………………………………

 

 

Yes                        No

 

If yes, how old were you/they when the treatment was done? ………….

 

From what source where the stem cells (bone marrow, umbilical, etc)?

…………………………………………………………………………………………………

 

Do you/they feel the stem cell treatment was successful? Please circle or delete appropriately.

 

Yes                             Partially                  No

 

Why? ………………………………………………………………………………………………………………………………………………………………………………………………………………….

 

 

 

Very well            Well              Okay            Not well        Not informed

 

 

 

 

Yes                             Not sure                 No

 

Why? ………………………………………………………………………………………………………………………………………………………………………………………………………………….

 

Treatment Yes/No
Partial bone marrow transplant for adults  
Using stem cells from the umbilical cord  
Using stem cells from the placenta  
Using induced pluripotent stem cells  

 

 

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

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