Feminine Care
This questionnaire is a pre-screener to seek eligibility for a market research project. You do NOT get compensated for filling out this form. If you pre-qualify, you will receive a text or email from a Recruiter to call our office.  

Compensation: $50 via Tremendous (Online or Physical Gift Card) (if chosen) to be sent 8-10 weeks after full participation.

Females 18-45 years old:

Product testing: October 19 – November 15, 2022

We are looking for individuals to test a menstrual pad for us in the next few weeks.  If you agree to participate and are selected, client will send you products to use in mid October during your menstrual cycle.

If chosen, you will be required to replace your normal menstrual pad product of this size, during your next menstrual cycle. You may continue to use other forms of feminine protection (liners, tampons, etc.) as you do with this size of product. 

At the end of the test period, we’ll email you a follow up survey so you can give us your opinion of the product, if chosen. 

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电子邮件地址 *
First Name * *
Last Name *
Your Age * *
Your Age * *
What is your date of Birth? * *
年
/
月
/
日
Gender * *
Ethnicity/Race * *
必填
Email * (if you have a Gmail account please enter that email address, preferred) *
Best Number to Text * *
Cell Phone Carrier * *
Alternate Number
Advanced Opinions communicates via text may we text to communicate with you? * *
Advanced Opinions communicates via email may we email you to communicate with you? * *
Are you currently * *
必填
If you are a Student, are you
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What is the highest level of education you have completed? * *
If you are currently working, please briefly describe your employment. (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is your job title? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is the name of the company/organization you work for? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
If you are currently working, what industry do you work in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *  If not applicable, enter N/A *
(IF MARRIED OR CO-HABITATING) What is your spouse or partner’s current occupation? What Industry are they currently working in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *Example: FT/Bus Driver/Transportation (If not applicable, enter N/A) *
What best represents your households annual income before taxes? (By this we mean all income brought into the home by all household members) * *
Which of the following best represents your current marital status? * *

NDAIPS1. We at Ipsos protect our research and our client’s confidential/proprietary information and intellectual property. By participating in this study, it is mandatory that you agree to:    •Not share any of the information included in this study such as images, videos, recordings advertisements and technical concepts, ideas, services, products or packaging;  • Not photograph, record, publish on the internet whatsoever, copy, or in any other way reproduce any of the information included in this study;  • Not use our client’s confidential information for your own benefit, the benefit of a third party, or in any way which would negatively impact our client or their public image.    Do you acknowledge you have read and agree to the statements above?


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Sometimes the type of work people do affects the products they buy.  Are you, or is any member of your family, employed in any of the following occupations?

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必填

When was the last time that you participated in a feminine protection product study for any market research company?

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Which of these statements best describes how you get the feminine hygiene products you use?

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When did you last have a menstrual period?

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Are you pregnant, nursing or planning on becoming pregnant over the next few months?

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When do you expect your NEXT menstrual period to start? If your next menstrual period is supposed to start before the first date below, please try to estimate when your following the menstrual period after that will start instead.

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Which of these product forms have you used for your period protection in the past 3 months?

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必填

Which of these product forms have you used most often in the past 3 months? 

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Which of these types of feminine protection products have you used in your last menstrual cycle?

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必填

Which of the following forms of pads for your period protection do you use most often?

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