Male Birth Control Survey: Sexual Education
We're interested in gathering individual perspectives about sexual health, generally, and male contraception, specifically. The purpose of this form is to gather qualitative information on the subject in order to expand our understanding of the opportunities and challenges around male contraception through manifold, unique voices.

Please note: Male Contraceptive Initiative reserves the right to use responses to its surveys for promotional purposes. By responding to this, you consent to the use of your responses in our promotional materials. We will endeavor to keep these as anonymous as possible (e.g., use only first names, etc.)
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What is your connection to the field of male contraception? *
What is your age group? *
What region are you located in? *
What is your gender?
Clear selection
What sources of information do/did you rely on for sexual health information, including information regarding contraception? (Select all that apply) *
Required
On a scale of 1 to 5 (with 1 being the worst and 5 being the best), how would you rate the quality of information you receive regarding sexual health?
Terrible
Fantastic
Clear selection
Tell us your thoughts on how you think sexual education could be improved. *
Submit
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