Feminine Hygiene Questionnaire
Your age
0-18
18-25
25-35
35-45
45-55
55+
Your gender identity
Female
Male
Other
Education level
Less than high school
High school
Undergraduate degree
Bachelor's degree or higher
Employment status
Student
Employed
Unemployed
Your income
Dependent on another
Up to $500
$501 - $2,000
$2,001 - $5,000
$5,001 - $7,000
Over $7,000
Your current state
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
How often do you purchase feminine hygiene products?
Several times in a month
Once a month
Less than once a month
Rarely
Never
Other
Where do you usually buy the products? (select all that apply)
Online
Grocery store
Drug store
Supercenter
Membership warehouse club
Convenience store
Discount Retailer (dollar general/family dollar etc.)
Other
What types of products do you regularly purchase? (select all that apply)
Pads
Tampons
Scented Pads
Scented Tampons
Panty Liners
Wipes
Douche
PH balanced Soap
PH balanced Refreshing Spray
Body Powder
Specialty Razor for Intimate Areas
Shaving Cream for Intimate Areas
Deodorant Suppositories
Lubrication
Odor Eliminating Gel
Vaginal Care Probiotics
Period Underwear
Menstrual Cups
Heating Patches
Other
Who do you buy feminine hygiene products for? (select all that apply)
Yourself
Partner
Child
Mother
Other
What brands of products do you regularly purchase? (select all that apply)
Kotex
Playtex
Tampax
O.B.
Lola
Generic Store Brands
Whatever is on sale
Other
Are you dedicated to specific brands of feminine hygiene products and only purchase from those specific brands?
Yes
No
On average, how many tampons and/or pads do you use per cycle?
7-10
11-16
17-25
26+
Your average monthly cost for feminine hygiene products.
Up to $10
$11 - $20
$21 - $30
$31 - $40
$51 - $60
$61 - $70
$71 - $80
$81 - $90
$91 - $100
Over $100
Are you always stocked up with the feminine hygiene products that are used?
Yes
Mostly
No
How convenient would it be to receive the feminine hygiene products delivered to your home?
Extremely convenient
Convenient
Somewhat convenient
Not convenient at all
How likely would you sign up for reoccurring deliveries for your feminine hygiene products?
Very likely
Likely
Somewhat likely
Not likely at all
Unsure
Would you choose to customize your subscription box to match your specific menstrual needs? For example, pads and/or tampons, quantity, and absorption rate.
Yes
Maybe
No
What would you expect to pay per subscription box received?
$10-$20
$20-$40
$40-$60
Other
Tell us about the things you have or would use as an emergency backup to absorb blood during your monthly cycle? (list as many as you want)
What is your "go-to" for cramp and/or PMS relief? (list as many as you want)
What type of pads would you like in your subscription? (select all that apply)
Non-scented
Scented
Winged
Overnight
Panty Liner
None
Other
What type of tampons would you like in your subscription? (select all that apply)
Non-scented
Scented
No applicator
Plastic applicator
Cardboard applicator
None
Other
What is your "go-to" snack during your time of the month? (select all that apply)
Chocolate
Sour
Sweet
Crunchy
Gummy
Salty
Other
How often would you prefer to receive your box?
Every two weeks
28-day cycle
Monthly
Quarterly
What day of the month would you prefer to receive your subscription box?
1st of the month
13th of the month
22nd of the month
Other
Who gave you your "period talk" when you were young?
Mom
Dad
Mom &Dad
Aunt
Sister
Friend
Grandmother
Health class
Other
Do you believe it is essential for young men (12-17) to have basic knowledge about menstrual cycles?
Yes
No
Within Reason
What are the things you wish you were told when you first began having menstrual cycles? (list as many as you want)
What was the hardest or most hated part of having your period as a teenager? (list as many as you want)
What products would you like to see in a subscription box?
What would you name this type of subscription box?
Please leave any other comments, thoughts, or ideas you may have. Your opinion matters!
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