Female Health Survey
This survey is solely for individuals who have or have ever had their period. Please fill out this form, which will help us immensely and should take between 7 and 9 minutes.
It is anonymous, so please be honest! Thank you so much for your time and valuable info :-)
General Information
What is your biological sex? *
How old are you? *
What is your total annual household income? *
Where do you reside (City, State, Country)? *
Your answer
What products do you carry on your person daily (please check all that apply)? *
Required
Which type of smartphone do you use? *
Where on your person do you tend to keep your phone? *
How many waking hours per day are you apart from your phone? *
What types of wearable technologies, if any, do you use regularly (please check all that apply)? *
Required
Which of your wearable’s features are important to you (please check all that apply)? *
Required
Health
The following questions relate to menstruation. If you no longer menstruate, please answer the questions that follow from the perspective of when you did have your period. If you have never menstruated, please do not proceed; thank you for your time!
At what age did you start your period? *
How do you feel about your period in general? Please rate on 1-5 scale, 1 being strongly dislike and dread, 3 being neutral, 5 being strongly like and look forward to: *
Strongly dislike and dread
Like and look forward to
How regular/predictable are your periods? Please rate on a 1-5 scale, 1 being not at all predictable, 3 being neutral, and 5 being very regular: *
Not at all predictable
Completely regular
Which menstrual product do you use most often (please check all that apply)? *
Required
Which brand of tampon do you use primarily? *
Throughout your cycle, which types of pad do you primarily use? *
Required
For how many hours (on average) do you typically use a hygiene product before changing it? *
How much money do you typically spend on menstrual products and damage/pain control per cycle? *
Do you use feminine hygiene products when you are not on your period? *
If you answered yes to the above question, which product(s) do you use and why?
Your answer
How strongly do you associate each emotion with your period? Please rate on 1-5 scale, 1 being not at all, 3 being somewhat, and 5 being very much: *
1
2
3
4
5
Shame
Joy
Embarrassment
Disgust
Pride
Humiliation
Anger
Anxiety
Frustration
Please rate your agreement with the following statements on a 1-5 scale, 1 being strongly disagree, 3 being somewhat agree, 5 being strongly agree: *
1
2
3
4
5
I was properly warned/prepared about my period when it first came
I think periods should be more openly discussed/ addressed
I would like to learn more about my body and menstrual cycle
When I address my menstrual needs, I do so as discreetly as possible
I feel comfortable discussing my period with others
I see my period as a rite of passage
I feel well-informed about menstruation
How much pain do you experience pain during your period? Please rate on a 1-5 scale, 1 being not at all, 3 being some, 5 being a lot: *
No Pain
Immense Pain
What other side effects (physical, mental, emotional, social, material) do you experience/ have you experienced on your period (please check all that apply)? *
Required
Please rate your agreement with the following statements on a 1-5 scale, 1 being strongly disagree, 3 being neutral, 5 being strongly agree: *
1
2
3
4
5
I would buy a product that would assist me in preventing stains/ leakage on my period
I would buy a product that would assist me in preventing toxic shock syndrome and other menstruation-related complications
I would buy a product that would help me prevent discomfort/dryness due to premature removal of my feminine hygiene product
I would buy a product that would help me prevent waste/ excess cost due to premature removal of my feminine hygiene product
I would buy a product that would assist me in detecting a yeast infection
I would buy a product that would assist me in predicting/ monitoring ovulation
I would buy a product that would help me in predicting when my period will stop and start each cycle
I would buy a product that would assist me in predicting the heaviness of my period on a given day
I would buy a product that would assist me in learning about my menstrual physiology/ I believe I have more to learn about my feminine physiology
We are creating a body-safe feminine hygiene product that can send you notifications when your hygiene product is full, leaking, or otherwise needs to be removed. This product will be used in conjunction with products you are familiar with, e.g. pads, tampons.
What is the most you’d be willing to pay (as a one-time purchase) for the electronics portion of such a product? Assume that the cost of your disposable tampons/ pads/ etc. would stay the same. *
If an electronic component were embedded into each hygiene product, how much more would you pay for your box of hygiene products? *
Do you have reservations about using a tampon with this technology, which is made of body-safe material? If so, what are they? *
Your answer
Would you be okay reusing certain parts of this product (i.e. a separate clip-on or sticker chip) with each disposable hygiene product?
Is it important to you that this product connect to your phone? Or would receiving a physical alert (such as a vibration) that your hygiene product has reached saturation suffice? *
What features would you like to see in this product? *
Your answer
What features would you not like to see in this product? *
Your answer
How useful/ important to you would the device's ability to aggregate your data over time to help you predict your flow be? Please rate on a 1-5 scale, 1 being not at all useful/ important, 3 being somewhat important, and 5 being crucial: *
Not at all important/ useful
Crucial
Would you be comfortable with data on your and others’ periods being anonymously collected in order for the medical and biotech communities to learn more about and improve products like this? *
Please share any additional thoughts, stories, hesitancies, and suggestions regarding our product, market, menstruation, or women’s health in general:
Your answer
If you’d like to stay up to speed with our progress as we are developing our design, or would like to provide additional input and feedback, please provide your email address below (we will not associate your answers with your email address):
Your answer
Thank you for helping us start this conversation!
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