Request for research involvement

Please complete this form and a member of the team will be in touch

Title*

First name*

Last name*

Email Address*

In a sentence or two and in lay friendly terms please describe your research project. You may want to include the disease area that your research focuses on and the intended aim of your research.*

Where applicable, what is the name of the funding call that you are applying to?

If applicable, what is the approximate total amount of funding that you are applying for? (If you are not sure at this stage please select the most likely option)*

I’m not applying for funding

Less than £250,000

£250,000 - £500,000

£500,000 - £1,000,000

£1,000,000 – £2,000,000

£2,000,000 – £5,000,000

£5,000,000+

If applicable, what’s the deadline for the funding call that you are applying to?

Which of the following forms of involvement are you interested in? (check all that apply)*

Quantitative insights through surveys and polling

Qualitative insights through interviews

Qualitative insights through focus groups and workshops

User testing

Patient involvement

Dissemination of your results

Access to our Expert Patient Panel

Other

If other, please specify:

Is there anything else you’d like to let us know?

MAY WE KEEP IN TOUCH?

We would like to keep you informed about the work that we do, news, health advice, appeals, events, campaigns and research.

Yes please, I’d like to hear from you by:

We do not share or sell any personal details with third-parties for commercial purposes. Our full privacy policy describes how we use your information.

Asthma and Lung UK is a charitable company limited by guarantee with company registration number 01863614, with registered charity number 326730 in England and Wales, SC038415 in Scotland, and 1177 in the Isle of Man.