The information collected in this survey is anonymous and not personally identifiable. It will not be used for any marketing, promotional, or commercial activities. It is only intended to provide Exeltis an aggregate understanding of patient experiences with Slynd®.

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* 1. What is your age?

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* 2. What was the most recent form of birth control you used prior to Slynd?

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* 3. If you have used a pill other than Slynd® , please indicate if it was any of the following brands. (If you have used more than one of the answer choices provided, please select the most recent one.)

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* 4. How did you learn about Slynd®?

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* 5. Why did your doctor prescribe Slynd® for you?

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* 6. Did you face any challenges while filling your Slynd® prescription?

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* 7. Are you aware that Slynd® offers a patient savings program?

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* 8. What benefit of Slynd® do you find most meaningful? 

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* 9. If you could change anything about Slynd®, what would you suggest?

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* 10. Would you say that your bleeding improved since you began taking Slynd®?

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* 11. If you experienced irregular bleeding prior to starting Slynd®, how long did it take for your bleeding to improve with Slynd®?

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* 12. Do you plan on refilling your prescription of Slynd®?

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* 13. On a scale of 1-5, with 5 being most likely, how likely are you to tell your friend or family member to ask their doctor about Slynd®?

0 of 13 answered
 

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