Pre-Study Questionnaire

Study #KVM20424

Study Title: Consumer Test - Vulvovaginal Moisturizer 2.0

Please complete this questionnaire before you begin using the product.

Reminder: All responses are kept strictly confidential and you will not be identified in any research reporting, documentation, or publications.

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1. Please enter today's date. (Required.)

Date

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2. Enter your email address.
(Please use the same email address you provided on previous forms.) (Required.)

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3. How would you rate the severity of your vulvar/vaginal dryness, on average, over the last 7 days? (Required.)

0 (None)

5 (Moderate)

10 (Severe)

Clear

i We adjusted the number you entered based on the slider’s scale.

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4. How would you rate the severity of your vulvar/vaginal discomfort or irritation, on average, over the last 7 days? (Required.)

0 (None)

5 (Moderate)

10 (Severe)

Clear

i We adjusted the number you entered based on the slider’s scale.

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5. How would you rate the severity of your vulvar/vaginal itching, on average, over the last 7 days? (Required.)

0 (None)

5 (Moderate)

10 (Severe)

Clear

i We adjusted the number you entered based on the slider’s scale.

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6. How would you rate the severity of your vulvar/vaginal stinging or burning, on average, over the last 7 days? (Required.)

0 (None)

5 (Moderate)

10 (Severe)

Clear

i We adjusted the number you entered based on the slider’s scale.

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7. How would you rate the severity of pain during intimacy, on average, over the last 7 days? (Required.)

0 (None or N/A)

5 (Moderate)

10 (Severe)

Clear

i We adjusted the number you entered based on the slider’s scale.

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8. Where do you typically experience symptoms of dryness, discomfort, itching, etc? (Required.)

Vulva

Introitus (vaginal opening)

Vaginal canal

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9. Are you currently experiencing any of the following in the vulvar/vaginal area? (Required.)

Thinning skin

Micro cuts

Discomfort from wiping

None of the above

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10. How often do you typically engage in vaginal sexual intercourse? (Required.)

Not sexually active

Less than once a month

Once a month

2-3 times per month

1-2 times per week

3-4 times per week

5-7 times per week

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11. How often do you typically engage in masturbation? (Required.)

N/A

Less than once a month

Once a month

2-3 times per month

1-2 times per week

3-4 times per week

5-7 times per week

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12. How much has vaginal dryness/sensitivity/etc decreased your ability to fully enjoy intimacy? (Required.)

It hasn't

A little bit

Moderately

Significantly

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13. Do you use a vaginal lubricant during intercourse? (Required.)

Sometimes

Yes

If so, please specify:

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14. What products or treatments have you tried to help with vulvar/vaginal dryness, sensitivity, itching, etc? (Required.)

Non-Prescription Herbal Supplements

Prescription Hormone Therapy (e.g., vaginal cream or suppository)

Vaginal Lubricant (e.g., KY)

Vaginal Moisturizer (e.g., Replens)

Products/Devices (e.g., Fiera or Eros)

Vibrator

None

Other (please specify)

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15. How much do uncomfortable vulvar/vaginal symptoms concern you and impact your life? (Required.)

0 (Not at all)

5 (Moderately)

10 (Significantly)

Clear

i We adjusted the number you entered based on the slider’s scale.

Pre-Study Questionnaire

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* 1. Please enter today's date. (Required.)

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* 2. Enter your email address. (Please use the same email address you provided on previous forms.) (Required.)

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* 3. How would you rate the severity of your vulvar/vaginal dryness, on average, over the last 7 days? (Required.)

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* 4. How would you rate the severity of your vulvar/vaginal discomfort or irritation, on average, over the last 7 days? (Required.)

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* 5. How would you rate the severity of your vulvar/vaginal itching, on average, over the last 7 days? (Required.)

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* 6. How would you rate the severity of your vulvar/vaginal stinging or burning, on average, over the last 7 days? (Required.)

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* 7. How would you rate the severity of pain during intimacy, on average, over the last 7 days? (Required.)

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* 8. Where do you typically experience symptoms of dryness, discomfort, itching, etc? (Required.)

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* 9. Are you currently experiencing any of the following in the vulvar/vaginal area? (Required.)

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* 10. How often do you typically engage in vaginal sexual intercourse? (Required.)

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* 11. How often do you typically engage in masturbation? (Required.)

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* 12. How much has vaginal dryness/sensitivity/etc decreased your ability to fully enjoy intimacy? (Required.)

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* 13. Do you use a vaginal lubricant during intercourse? (Required.)

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* 14. What products or treatments have you tried to help with vulvar/vaginal dryness, sensitivity, itching, etc? (Required.)

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* 15. How much do uncomfortable vulvar/vaginal symptoms concern you and impact your life? (Required.)

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* 16. Is there anything else you think would be helpful for Kindra to know about your history/symptoms/experiences/etc? (Required.)

1. Please enter today's date. (Required.)

2. Enter your email address.
(Please use the same email address you provided on previous forms.) (Required.)

3. How would you rate the severity of your vulvar/vaginal dryness, on average, over the last 7 days? (Required.)

4. How would you rate the severity of your vulvar/vaginal discomfort or irritation, on average, over the last 7 days? (Required.)

5. How would you rate the severity of your vulvar/vaginal itching, on average, over the last 7 days? (Required.)

6. How would you rate the severity of your vulvar/vaginal stinging or burning, on average, over the last 7 days? (Required.)

7. How would you rate the severity of pain during intimacy, on average, over the last 7 days? (Required.)

8. Where do you typically experience symptoms of dryness, discomfort, itching, etc? (Required.)

9. Are you currently experiencing any of the following in the vulvar/vaginal area? (Required.)

10. How often do you typically engage in vaginal sexual intercourse? (Required.)

11. How often do you typically engage in masturbation? (Required.)

12. How much has vaginal dryness/sensitivity/etc decreased your ability to fully enjoy intimacy? (Required.)

13. Do you use a vaginal lubricant during intercourse? (Required.)

14. What products or treatments have you tried to help with vulvar/vaginal dryness, sensitivity, itching, etc? (Required.)

15. How much do uncomfortable vulvar/vaginal symptoms concern you and impact your life? (Required.)

16. Is there anything else you think would be helpful for Kindra to know about your history/symptoms/experiences/etc? (Required.)