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 forms of birth control have you previously used? Select all that apply.

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* 3. If you have used a tablet, please indicate if it was any of the following brands. Select all that apply.

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* 4. How did you learn about Slynd? Select all that apply.

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* 5. Why did your doctor prescribe Slynd for you? Select all that apply.

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* 6. Did you face any challenges while filling your Slynd prescription? Select all that apply.

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

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* 8. What benefits of Slynd do you find most meaningful? Select all that apply.

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* 9. If you could change anything about Slynd, what would you suggest?  Select all that apply.

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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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