Urinary Incontinence Online Study red Question Title * 1. Please provide the following information so that we may contact you: Name City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. What is your gender? Male Female Non-Binary Other (please specify) Question Title * 3. Which best describes your age? Under 45 45-49 50-54 55-59 60-64 65-69 70 or older Question Title * 4. Are you, or is any member of your household currently employed by, previously employed by or retired from any of the following types of companies? An advertising agency or public relations firm For a market research firm or the market research department of a company In radio, television, or for a newspaper or magazine A company that manufactures, distributes, or sells any pharmaceutical products A company that manufactures, distributes, or sells any health, beauty, or feminine hygiene products A company such as Colgate-Palmolive, Johnson & Johnson, Kimberly Clark, Procter & Gamble, Unilever, or Playtex None of these Question Title * 5. Are you currently pregnant, or trying to conceive? Yes No Question Title * 6. Many women have told us that they experience urine loss, also known as urinary incontinence or bladder leakage. Women of all ages can be affected by this common phenomenon and the severity can vary from a few drops when coughing, sneezing, or laughing to larger quantities. Have you, yourself, experienced any of the types of unintentional urine loss or bladder leakage, if even only a few drops, in the past 6 months? Yes No Question Title * 7. How often do you experience unintentional urine loss or bladder leakage? Never Less than once a month One to three times a month About once a week Several times a week Every day and/or night Question Title * 8. How would you describe the intensity of your unintentional urine loss or bladder leakage during the past 3 months? Few drops or less Small spurts Streams Sudden gushes Large amounts (up to a full bladder) Question Title * 9. Thinking of the past 6 months, which of the following products, if any, have you, yourself, used for unintentional urine loss or bladder leakage? Select all that apply.... Pantiliners/Liners specifically designed for menstruation and/or daily freshness Pads specifically designed for menstruation Pantiliners/Liners specifically designed for bladder leakage Pads specifically designed for bladder leakage – Light/Mod (3/4 drops) Pads specifically designed for bladder leakage – Max/Heavy/Ultimate (5/6/7 drops) Single-use underwear/pants/briefs specifically designed for bladder leakage Taped diapers specifically designed for bladder leakage Washable underwear specifically designed for menstruation or bladder leakage (Knix, Thinx, etc.) None of the above Question Title * 10. What is your current weight in pounds? Question Title * 11. What is your height? Question Title * 12. How often do you experience accidents/leaks (accident/leak is defined as urine getting outside of product and onto your clothing) with the products you use specifically for bladder leakage? Never About once a month A few times a month About once a week Several times a week Every day and/or night Question Title * 13. How would you describe your current menstruation? I never had a period I am menstruating and have periods that are typical for my body I am menstruating but do not have periods regularly (IUD, seasonal birth control, etc.) I am currently pregnant, nursing/post-partum and not menstruating I am going through menopause and have periods sporadically or notice they are changing I have gone through menopause and am no longer menstruating Question Title * 14. We would now like you to go to the area where you store the product you use for unintentional urine loss and bring those products to your device. In the next question, we would like you to record some information from the packages. We also have you take a photo of your product(s) and upload them at Q19) Can you please tell me which brands of Menstrual Liners, if any, you have used for unintentional urine loss or bladder leaks in the past 6 months.And which brand(s) of Menstrual Liners, if any, have you used MOST OFTEN in the past 6 months? Brands used in p. 6 months Brands used Most Often in p. 6 months Always Always Brands used in p. 6 months Always Brands used Most Often in p. 6 months L L Brands used in p. 6 months L Brands used Most Often in p. 6 months Carefree Carefree Brands used in p. 6 months Carefree Brands used Most Often in p. 6 months Kotex Kotex Brands used in p. 6 months Kotex Brands used Most Often in p. 6 months Walmart Equate store brand Walmart Equate store brand Brands used in p. 6 months Walmart Equate store brand Brands used Most Often in p. 6 months I do not use Menstrual Liners I do not use Menstrual Liners Brands used in p. 6 months I do not use Menstrual Liners Brands used Most Often in p. 6 months Other (please specify) Question Title * 15. Can you please tell me which brands of Menstrual Pads, if any, you have used for unintentional urine loss or bladder leaks in the past 6 months.And which brand(s) of Menstrual Pads, if any, have you used MOST OFTEN in the past 6 months? Brands used in p. 6 months Brands used Most Often in p. 6 months Always Always Brands used in p. 6 months Always Brands used Most Often in p. 6 months L L Brands used in p. 6 months L Brands used Most Often in p. 6 months Stayfree Stayfree Brands used in p. 6 months Stayfree Brands used Most Often in p. 6 months Kotex Kotex Brands used in p. 6 months Kotex Brands used Most Often in p. 6 months Walmart Equate store brand Walmart Equate store brand Brands used in p. 6 months Walmart Equate store brand Brands used Most Often in p. 6 months I do not use Menstrual Pads I do not use Menstrual Pads Brands used in p. 6 months I do not use Menstrual Pads Brands used Most Often in p. 6 months Other (please specify) Question Title * 16. Can you please tell me which brands of Bladder Control Liners, if any, you have used for unintentional urine loss or bladder leaks in the past 6 months.And which brand(s) of Bladder Control Liners, if any, have you used MOST OFTEN in the past 6 months? Brands used in p. 6 months Brands used Most Often in p. 6 months Always Discreet Always Discreet Brands used in p. 6 months Always Discreet Brands used Most Often in p. 6 months Poise Poise Brands used in p. 6 months Poise Brands used Most Often in p. 6 months Tena Tena Brands used in p. 6 months Tena Brands used Most Often in p. 6 months Walmart Equate store brand Walmart Equate store brand Brands used in p. 6 months Walmart Equate store brand Brands used Most Often in p. 6 months I do not use Bladder Control Liners I do not use Bladder Control Liners Brands used in p. 6 months I do not use Bladder Control Liners Brands used Most Often in p. 6 months Other (please specify) Question Title * 17. Can you please tell me which brands of Bladder Control Pads, if any, you have used for unintentional urine loss or bladder leaks in the past 6 months.And which brand(s) of Bladder Control Pads, if any, have you used MOST OFTEN in the past 6 months? Brands used in p. 6 months Brands used Most Often in p. 6 months Attend Attend Brands used in p. 6 months Attend Brands used Most Often in p. 6 months Always Discreet Always Discreet Brands used in p. 6 months Always Discreet Brands used Most Often in p. 6 months Always Discreet Boutique Always Discreet Boutique Brands used in p. 6 months Always Discreet Boutique Brands used Most Often in p. 6 months Depends Fresh Protection Depends Fresh Protection Brands used in p. 6 months Depends Fresh Protection Brands used Most Often in p. 6 months Depends Silhouette Depends Silhouette Brands used in p. 6 months Depends Silhouette Brands used Most Often in p. 6 months Walmart Assurance store brand Walmart Assurance store brand Brands used in p. 6 months Walmart Assurance store brand Brands used Most Often in p. 6 months I do not use Bladder Control Pads I do not use Bladder Control Pads Brands used in p. 6 months I do not use Bladder Control Pads Brands used Most Often in p. 6 months Other (please specify) Question Title * 18. Can you please tell me which brands of Bladder Control Pants, if any, you have used for unintentional urine loss or bladder leaks in the past 6 months.And which brand(s) of Bladder Control Pants, if any, have you used MOST OFTEN in the past 6 months? Brands used in p. 6 months Brands used Most Often in p. 6 months Attend Attend Brands used in p. 6 months Attend Brands used Most Often in p. 6 months Always Discreet Always Discreet Brands used in p. 6 months Always Discreet Brands used Most Often in p. 6 months Always Discreet Boutique Always Discreet Boutique Brands used in p. 6 months Always Discreet Boutique Brands used Most Often in p. 6 months Depends Fresh Protection Depends Fresh Protection Brands used in p. 6 months Depends Fresh Protection Brands used Most Often in p. 6 months Depends Silhouette Depends Silhouette Brands used in p. 6 months Depends Silhouette Brands used Most Often in p. 6 months Walmart Assurance store brand Walmart Assurance store brand Brands used in p. 6 months Walmart Assurance store brand Brands used Most Often in p. 6 months I do not use Bladder Control Pants I do not use Bladder Control Pants Brands used in p. 6 months I do not use Bladder Control Pants Brands used Most Often in p. 6 months Other (please specify) Question Title * 19. In order to confirm you for this research, we ask that you submit a photo of the products you are currently using for unintentional urine loss or bladder leaks. Can you please send in those photos so that we can confirm the brands you are using? Question Title * 20. Who in your household is the primary decision maker and purchaser for the adult incontinence products that you, yourself, use? I usually choose the brand and buy the brand myself I usually tell someone else what brand to buy Someone else chooses and buys the brand for me Question Title * 21. Which best describes your employment? Working full-time Working part-time Laid-off / looking for work A stay-at-home mom Student (full or part- time) Retired Question Title * 22. Which of the following ranges includes your annual household income before taxes? Under $15,000 $15,000-$24,999 $25,000-$29,999 $30,000-$39,999 $40,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000 or more Question Title * 23. Which of the following best describes your ethnic background? Caucasian/White African American/Black Hispanic/Latino Asian/Pacific Islander Native American Other (please specify) Question Title * 24. How comfortable are you discussing your feelings and opinions on the subject of unintentional urine loss in a one-on-one setting? Very comfortable Somewhat comfortable Somewhat uncomfortable Very uncomfortable Question Title * 25. When was the last time you participated in a market research study? Question Title * 26. Are you currently participating or scheduled to participate in any market research projects with us or any other market research company? Yes No Question Title * 27. Please describe the most beautiful place you have ever been or seen. Please tell me what it looks like, what it smells like and what it feels like. Please be as descriptive as possible. Question Title * 28. How would you classify yourself regarding the use of technology like laptops, desktops, and smartphones? a. I’m an expert. b. I’m very comfortable. c. I’m about average. d. Technology can be confusing and hard to use at times, but I manage. e. I'm not good with technology, and I find it difficult to work with Question Title * 29. Do you have access to and regularly use any of the following? Select all that apply. a. A laptop with a working webcam and microphone b. A desktop with a working webcam and microphone c. A smartphone with a working camera and microphone d. None of the above Question Title * 30. What operating system do you use on your smartphone? iOS (Apple) Android Other Question Title * 31. Are you willing and able to download the free app to your smartphone to record videos, take pictures, and complete other activities for this project? Yes No Question Title * 32. We may ask you to complete a 15-minute phone call before the study kicks off. Is this something you’d be comfortable with? Yes No Question Title * 33. Please select the following date(s) and time(s) you could attend for the pre-call. Select all that apply. Tuesday, January 16th morning Tuesday, January 16th afternoon Wednesday, January 17th afternoon Thursday, January 18th morning Thursday, January 18th afternoon Friday, January 19th morning Friday, January 19th afternoon Thursday, January 25th morning Thursday, January 25th afternoon Friday, January 26th morning Friday, January 26 afternoon None of the above Done