Week 1 Questionnaire

Study #KVM20424

Study Title: Consumer Test - Vulvovaginal Moisturizer 2.0

Please complete this questionnaire after 7 days of using the product (at least) twice daily.

The questionnaire will take approximately 3-5 minutes to complete.

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 the start/end dates for your Week 1 trial period. (Required.)

Week 1 Start Date:

Date

Week 1 End Date:

Date

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

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

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

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7. Did you enjoy using the lotion? (Required.)

Yes

No (please explain)

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8. Did you like the way the lotion left your skin feeling? (Required.)

Yes

No (please explain)

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9. Do you agree or disagree: The lotion is non-greasy. (Required.)

Agree

Slightly agree

Slightly disagree

Disagree

If you disagree, please explain:

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10. Do you agree or disagree: The lotion feels soothing to apply. (Required.)

Agree

Slightly agree

Slightly disagree

Disagree

If you disagree, please explain:

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11. Do you agree or disagree: The lotion absorbs well into my skin. (Required.)

Agree

Slightly agree

Slightly disagree

Disagree

If you disagree, please explain:

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12. Do you feel the recommended dosage (2-3 pumps) is right for you? (Required.)

Yes

No, the dosage is too many pumps for me

No, the dosage is too few pumps for me

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13. Do you feel any relief immediately (within 1 hour) after applying the lotion? (Required.)

Yes

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14. How long does relief last after applying the lotion? (Required.)

1 hour or less

2-4 hours

5-7 hours

8+ hours

Other (please specify)

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15. Did you feel any improvement in your overall vulvar/vaginal symptoms after 1 week of using the lotion? (Required.)

Yes - on day 1

Yes - by day 3

Yes - by day 7

Week 1 Questionnaire

Question Title

1. Please enter the start/end dates for your Week 1 trial period. (Required.)

Question Title

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

Question Title

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

Question Title

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

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

Question Title

7. Did you enjoy using the lotion? (Required.)

Question Title

8. Did you like the way the lotion left your skin feeling? (Required.)

Question Title

9. Do you agree or disagree: The lotion is non-greasy. (Required.)

Question Title

10. Do you agree or disagree: The lotion feels soothing to apply. (Required.)

Question Title

11. Do you agree or disagree: The lotion absorbs well into my skin. (Required.)

Question Title

12. Do you feel the recommended dosage (2-3 pumps) is right for you? (Required.)

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13. Do you feel any relief immediately (within 1 hour) after applying the lotion? (Required.)

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14. How long does relief last after applying the lotion? (Required.)

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15. Did you feel any improvement in your overall vulvar/vaginal symptoms after 1 week of using the lotion? (Required.)

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16. Do you have any other thoughts on the lotion or your symptoms after 1 week of use? (Required.)

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

Week 1 Questionnaire

Question Title

* 1. Please enter the start/end dates for your Week 1 trial period. (Required.)

Question Title

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

Question Title

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

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

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* 7. Did you enjoy using the lotion? (Required.)

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* 8. Did you like the way the lotion left your skin feeling? (Required.)

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* 9. Do you agree or disagree: The lotion is non-greasy. (Required.)

Question Title

* 10. Do you agree or disagree: The lotion feels soothing to apply. (Required.)

Question Title

* 11. Do you agree or disagree: The lotion absorbs well into my skin. (Required.)

Question Title

* 12. Do you feel the recommended dosage (2-3 pumps) is right for you? (Required.)

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* 13. Do you feel any relief immediately (within 1 hour) after applying the lotion? (Required.)

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* 14. How long does relief last after applying the lotion? (Required.)

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* 15. Did you feel any improvement in your overall vulvar/vaginal symptoms after 1 week of using the lotion? (Required.)

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* 16. Do you have any other thoughts on the lotion or your symptoms after 1 week of use? (Required.)

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

1. Please enter the start/end dates for your Week 1 trial period. (Required.)

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

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

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

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

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

7. Did you enjoy using the lotion? (Required.)

8. Did you like the way the lotion left your skin feeling? (Required.)

9. Do you agree or disagree: The lotion is non-greasy. (Required.)

10. Do you agree or disagree: The lotion feels soothing to apply. (Required.)

11. Do you agree or disagree: The lotion absorbs well into my skin. (Required.)

12. Do you feel the recommended dosage (2-3 pumps) is right for you? (Required.)

13. Do you feel any relief immediately (within 1 hour) after applying the lotion? (Required.)

14. How long does relief last after applying the lotion? (Required.)

15. Did you feel any improvement in your overall vulvar/vaginal symptoms after 1 week of using the lotion? (Required.)

16. Do you have any other thoughts on the lotion or your symptoms after 1 week of use? (Required.)

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