myLAB Box Survey
Help us improve the myLAB service by answering a few quick questions. All information collected in this questionnaire is completely anonymous and will be kept strictly confidential.

What motivated you to visit myLAB Box? *
(check all that apply)
Do you know someone or have you ever had an STD or symptoms? *
What most appeals to you about the service? *
(check all that apply)
How many partners do you have per year? *
How often do you test for STDs presently? *
Do you date online and if so, which dating sites do you use? *
What best describes your current relationship status? *
What best describes your sexual orientation? *
Your gender is: *
Your age is: *
If you did NOT make a purchase on myLAB Box today, please tell us why *
Are you interested in becoming a myLAB Box Ambassador?
Help us improve myLAB Box with additional feedback on our service. To opt-in, please list the best number and e-mail to reach you at starting with country + area codes.
Your answer
What additional questions or suggestions do you have about the myLAB Box service?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.