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QUESTIONAIRE FOR DOCTORS AND SPECIALISTS

Your relationship with coeliac disease:

Gastroenterologist Endocrine Specialist Pediatrician

1) How long you've been related to coeliac disease?

2)Are you member of any coeliac assosiation?

Yes No If yes, which one?

3) Do you keep informed on the coeliac disease?

Yes No If so, which are your sources? Assosiation Internet Medial Forums Magazines
Other

3.a) In internet, which are you favorite websites?

www. www. www. www.

4) Do you buy or receive any specialized magazine?

Yes No If yes, which one? 1. 2. 3. 4. 5.

5) In average, how many new coeliac cases do you diagnose on a monthly basis?

Less than 5 5 to 20 20 to 30 More than 30

6) The diagnised person profile is…

Mostly kids from 0 to 10 y.o. Mostly youth from 10 to 20 y.o. Mostly adults of more than 20 y.o. Really heterogeneous

8) What gluten free brands do you know?

  Proceli   Schär   Store Brand
  Glutafin   Tesco
  Others

9) Do you usually recomend glutten free brands?

  Yes   No If yes, which one do you recomend?   Proceli   Schär   Store Brand
  Glutafin   Tesco
  Others

10) Which products do you think should be removed from the market due to it's quality problems?

11) Regarding other alergies, you positively appreciate gluten free products and…

egg free milk free egg & milk free only for egg & milk allergics

12) If you have any suggestions, let us know!

Full name

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City

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For more information, go to: www.proceli.com

En complimiento de la normativa vigente de protección de datos de carácter personal (Ley Orgánica 15/1999), le informamos que los datos que nos proporcione en esta encuesta seran recogidas y tratadas únicamente por Proceli Turull SL. Usted podrá ejercer su derecho de rectificación o cancelación de los datos facilitados si así nos lo comunica a info@proceli.com. La recogida de datos de esta encuesta pretende conocer los hábitos de consumo de las personas celíacas y enviar información de Proceli Turull SL a aquellas que así lo deseen. El uso de los datos será exclusivamente el mencionado y se garantizan las medidas de seguridad que eviten lsu alteración y/o difusión a terceros.

JOSEP TAPIOLAS, 96 - 08226 TERRASSA, BARCELONA (SPAIN)
TEL +34 902 364 334 - FAX +34 937 848 383
info@proceli.com

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