Birth Control (MR)

Birth Control Market Research

We are a branch of a larger market research company, whose goal is to make contact with as many women currently utilizing Birth Control methods. We will be looking to reach out to those interested in the form of online surveys and telephone discussions to help understand the needs of these individuals. When contacted and qualified we will pay respondents for their time (up to $100).

Our clients range from not-for-profit organizations, advertising agencies, advocacy groups and pharmaceutical companies. We work with them as an independent research company to identify and resource the opinions of individuals closest to various medically managed treatments. We have worked in a number of different areas including diabetes, autism, Fragile X, schizophrenia, etc.

All information collected during the surveys or phone discussions will be completely confidential in that we will not show your name or any other identifying information to our clients.

Question Title

* 1. Please provide contact information as noted.

ZIP:

Email Address:

Question Title

* 2. Note Birth Control Method (Ever - Check all that apply/ Current check one)

	Ever	Current
Oral contraceptive ("the pill")	Oral contraceptive ("the pill") Ever	Oral contraceptive ("the pill") Current
Hormonal Implant (Implanon)	Hormonal Implant (Implanon) Ever	Hormonal Implant (Implanon) Current
Contracrptive Patch (Evra)	Contracrptive Patch (Evra) Ever	Contracrptive Patch (Evra) Current
Contraceptive injection	Contraceptive injection Ever	Contraceptive injection Current
Vaginal ring (Nuvaring)	Vaginal ring (Nuvaring) Ever	Vaginal ring (Nuvaring) Current
Hormonal IUD(intra-uterine divice) / IUS (intra-uterine system)	Hormonal IUD(intra-uterine divice) / IUS (intra-uterine system) Ever	Hormonal IUD(intra-uterine divice) / IUS (intra-uterine system) Current
Copper IUD (coil)	Copper IUD (coil) Ever	Copper IUD (coil) Current
Cap/Diaphragm	Cap/Diaphragm Ever	Cap/Diaphragm Current
Condom	Condom Ever	Condom Current

Thank you very much for taking the time to fill out this short questionnaire. We are collecting basic information to match individuals with specific survey requirements in order to invite your participation.