1. Your Most Recent Injection in Your Bottom

Thank you for taking the time to take our survey about hypodermic injections! For more information check out hypodermic-injection.com

* 1. How old are you now?

* 2. Are you male or female?

* 3. What country do you live in?

* 4. How old were you the last time you had to get a hypodermic injection in your bottom?

* 5. Why did you have to have an injection?

* 6. Did you know it was going to be done in your bottom?

* 7. Where were you when you had to receive the shot?

* 8. Who told you that you were going to have to get a shot?

* 9. Who administered the injection?

* 10. Was the care provider that was going to administer your injection male or female?

* 11. What did the care provider say when you were told that you were going to have to have an injection?

* 12. How did the care provider tell you that it was going to have to be done in your bottom?

* 13. How did you feel about getting a shot in your bottom?

* 14. How were you positioned for the injection?

* 15. What were you wearing at the time?

* 16. How undressed did you have to get?

* 17. How bad did the injection hurt?

* 18. Did you cry?

* 19. Was the experience embarrassing?

* 20. Please take a few moments to tell us exactly what happened the last time you had to have an injection in your bottom.

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