Feminine Products Survey Pays $125
Hi,

we are holding a 45 minute online interview on Friday 2/26 for females. The survey pays $125 for your time.

Within the survey and subsequent call, if any, we may collect your name, email address, telephone number, and certain demographic information from you for use in connection with the research study. By clicking “Yes” you agree that as to personal data you supply in response to this questionnaire, if any, we may (i) use it ourselves in
connection with our recruitment activity, (ii) share it with third parties assisting us with this project, who may use it solely in connection with this project, or (iii) share it with the client commissioning the research study, who may use it in connection with the study. Please refer to our Privacy Policy (https://q-insights.com/privacy-policy/) and our Your Data, Your Rights Portal for more details.
Sign in to Google to save your progress. Learn more
Email *
Do you agree with the above terms?
Clear selection
Are you female? (if not, then this survey is not for you) *
Do you have any biological children of your own? (doesn't matter whether they live with you or not) *
How old are you? *
In the past 6 months, what stores have you shopped at? (Select all that apply) *
Required
Many women experience unintentional urine loss (bladder leaks) when laughing, sneezing, coughing, running, exercising, or when they can’t get to the bathroom right away.  Have you, yourself, experienced any of these types of bladder leakage (even if only a few drops) described above in the past 3 months? *
Which of the following types of products, if any, have you BOUGHT in the past 3 months specifically for bladder leak protection? (Select all that apply) *
Required
In the past 6 months, where you have bought products for bladder leaks? (Select all that apply) *
Required
Which of these brands have you bought/used for bladder leak protection in the past 3 months? (SELECT ALL THAT APPLY) *
Required
How often do you experience unintentional urine loss? Please select one. *
How would you describe the intensity of your unintentional urine loss during the past 6 months? Please select one. *
Approximately how long have you been using products for unintentional urine loss? *
Name: *
Phone Number: *
City/State: *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms