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EmThera Survey
These 10 quick questions will help validate your experience!
1. Name
*
2. Email
*
3. Age
*
4. What causes you pain and discomfort on your period?
*
4. What causes you pain and discomfort on your period?
I don't have any pain or discomfort on my period!
Severe cramps/pain
Moderate cramps/pain
Mild cramps/pain
Heavy flow
Light flow
Dry tampon insertion
Dry tampon removal
Tampon discomfort when inserting
Tampon discomfort when removing
Tampon discomfort when wearing
Oral medication like Ibuprofen does not help the pain at all
Oral medications like Ibuprofen helps the pain only a little bit
Fearful for when your period will start
Missing work/school/activities
Fearful if period is really finished
Other
5. How much are you willing to try the FDA approved Comfii (comfort tampon)? (0=not at all, 1=would try the Comfii if my friends/family/doctor recommended it, 2=would try the Comfii if there's good reviews, 3=would try the Comfii if I got an add, 4=would try the Comfii if the results from the clinical study say it is safe and effective, 5=would try the Comfii for a clinical study)
*
5. How much are you willing to try the FDA approved Comfii (comfort tampon)? (0=not at all, 1=would try the Comfii if my friends/family/doctor recommended it, 2=would try the Comfii if there's good reviews, 3=would try the Comfii if I got an add, 4=would try the Comfii if the results from the clinical study say it is safe and effective, 5=would try the Comfii for a clinical study)
0
1
2
3
4
5
6. How much are you willing to try the FDA approved Medii (medicated tampon)? (0=not at all, 1=would try the Medii if my friends/family/doctor recommended it, 2=would try the Medii if there's good reviews, 3=would try the Medii if I got an add, 4=would try the Medii if the results from the clinical study say it is safe and effective, 5=would try the Medii for a clinical study)
*
6. How much are you willing to try the FDA approved Medii (medicated tampon)? (0=not at all, 1=would try the Medii if my friends/family/doctor recommended it, 2=would try the Medii if there's good reviews, 3=would try the Medii if I got an add, 4=would try the Medii if the results from the clinical study say it is safe and effective, 5=would try the Medii for a clinical study)
0
1
2
3
4
5
7. Want to share a personal experience?
8. Would you pay $20 for a month's supply of Comfii?
*
8. Would you pay $20 for a month's supply of Comfii?
A
Yes, and honestly more than $20
B
Yes, that seems fair
C
No
9. Would you pay $40 for a month's supply of Medii?
*
9. Would you pay $40 for a month's supply of Medii?
A
Yes, and honestly more than $40
B
Yes, that seems fair
C
No
10. Would you like EmThera to reach out to you?
*
10. Would you like EmThera to reach out to you?
When I can sign up for clinical trials for Comfii
When I can sign up for clinical trials for Medii
When Comfii launches
When Medii launches
No, please don't contact me
Other
Submit