Nationwide Incontinence/Constipation

Plaza Research is conducting a couple of research studies with women about Incontinence and Constipation. They are paid research opportunities taking place in September.

The research for the Incontinence study will last approximately 1 hour and include an interview pre-task.

The research for the Constipation study will take place at our facility in Paramus, NJ. The interview will last approximately 2 hours.

Participants will be compensated for their time. Participants must be 40-69 years old in order to qualify.

**If you know anyone that may be interested in participating, but don't get our emails, we would love to hear from them as well! Please feel free to forward this application to them or anyone else that you know who may be interested**

To apply for this study please click continue and fill out the online application. If you appear to qualify based upon your responses, a recruiter from our office will be in touch with you for more complete screening and scheduling.

Question Title

* 1. Do you suffer from any of the following conditions?

Constipation

Pelvic Organ Prolapse

Stress Urinary Incontinence

Question Title

* 2. If you suffer from Constipation, please list any over the counter remedies you regularly use including brand and name.

Question Title

* 3. If you have suffered from Pelvic Organ Prolapse or Stress Urinary Incontinence, did you have or are you considering having surgery to correct the condition?

Yes, had surgery for POP

Yes, had surgery doe SUI

No, Not considering surgery

No, considering POP surgery

No, considering SUI surgery

Question Title

* 4. If yes, what month and year did you have surgery?

Question Title

* 5. If you had surgery, or are considering surgery which type?

Repair through a vaginal incision using synthetic mesh

Repair through a vaginal incision using biologic graft

Repair through an incision in the abdomen using synthetic mesh

Repair using sutures and no foreign materials

Sling

Question Title

* 6. Have you seen a specialist who performs gynecologic surgery in the past year about your condition?

Yes

Question Title

* 7. If yes, what type of specialist did you see?

Urogynecologist

Surical Gynecologist

Women's Health Urologist

Other

Question Title

* 8. Please answer some basic contact and demographic information.

Name:

Address 2:

City/Town:

State:

Email Address:

Phone Number:

Question Title

* 9. In years, what is your current age?

Question Title

* 10. Which best describes your ethnicity?

African American

Caucasian

Hispanic/Latino

Other

Question Title

* 11. Which of the following categories includes the total household income?

Under $30,000

$30-49,999

$50-74,999

$75-99,999

over $100,000

Thank you for taking the time to complete our online preliminary survey. To submit your answer click "done" below. If you appear to prequalify a recruiter will call you with additional questions and for scheduling.