Thank you for your interest in male contraception studies.

By completing this questionnaire, you are under no obligation to participate in a study. If you answer this questionnaire and later decide that you are not interested in participating, you may choose to opt out at any time. You will only be contacted if you are eligible for a study.

Many studies reimburse you for your time and typically offer a free vasectomy at their conclusion.

There are 10 questions to complete in total, this questionnaire typically takes less than 2-minutes to complete.

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* 1. Do you consent to providing your basic information to Clinico for the purposes of matching you to clinical studies?

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* 2. What is your date of birth?

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* 3. Which of the following are you considering?

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* 4. What type of contraception would you prefer?

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* 5. Do you have time to attend medical appointments?

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* 6. What is your postcode?

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* 7. Full Name

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* 8. Email Address

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* 9. Phone Number

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* 10. What is the best time to contact you?

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