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* 1. Please provide the following information so that we may contact you:

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* 2. What is your gender?

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* 3. What is your age?

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* 4. How do you describe yourself?

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* 5. Sometimes the type of work people do affects the products they buy. Are you, or is any member of your household, currently or formerly employed in any of the following occupations?

(Select All That Apply)

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* 6. How would you describe your current menstruation?

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* 7. Which of these conditions, if any, have you experienced in the last year?

Select all that apply.

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* 8. 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?

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* 9. How often do you experience unintentional urine loss or bladder leakage?

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* 10. How would you describe the intensity of your unintentional urine loss or bladder leakage during the past 3 months?

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* 11. 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.

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* 12. Which products have you, yourself, used MOST OFTEN for unintentional urine loss or bladder leakage in the past 6 months?

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* 13. When it comes to using products to manage your bladder leakage, which best describes your current situation?

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* 14. Thinking about a typical 4 week period of 28 days, how many days do you wear a protective product(s) to manage your bladder leakage?

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* 15. How often do you experience accidents/leaks WHILE WEARING bladder leakage products (accident/leak is defined as urine getting outside of the product and onto your underwear or clothing)?

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* 16. How often, if at all, do you ever use the following combinations when you are wearing product(s) to manage your bladder leakage?

  Every time Most times Sometimes Rarely Never
Wear pads or liners inside disposable/single-use underwear/pants/pull-ups
Wear two or more disposable/single-use underwear/pants/pull-ups AT THE SAME TIME
Wear two or more pads/liners AT THE SAME TIME (stacked on top of one another or next to each other)

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* 17. What is your height?

Please record in total inches (5 feet = 60 inches, so 5'4" = 64 inches for example)

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* 18. Please enter your weight in whole pounds.

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* 19. Which of the following best describes your current living situation?

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* 20. Which of the following best describes your employment status?

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* 21. Do you have access to and regularly use any of the following?

Select all that apply.

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* 22. What operating system do you use on your Smartphone?

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* 23. If you are selected to participate in this study, you will be asked to download the free app onto your smartphone and share your thoughts and experiences by recording videos of yourself and the environment around you.

This study will be 1-month in and will require 110 minutes (about 2 hours) of your time to complete.

For doing this you will receive a $200 incentive.

How comfortable are you with participating in this type of study?

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* 24. It is likely that this study will be extended for additional months. Each additional month will require about 40-minutes of your time for which you’ll receive an additional $75 incentive (per month). Are you open to participating in the additional months?

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