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$500 Market Research Study for Discreet Pads
Fill the Out the Form Below to See if You Qualify for this Study!
Pad to Pants Conversion Study Final
Please have the package(s) of the pads you currently use with you while completing this survey. There will be specific questions asked about the packaging of the pads.
Can you go in-person to 433 Hackensack Ave, Hackensack, NJ 07601 on June 28th, 2021 between 9am and 3:30pm with the packaging of the incontinent pads you currently use for 15 minutes?
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Yes
No
Do you agree to receive text messages and emails regarding appointments related to this study and are you aware you can opt out of these alerts if you choose not to participate in this study?
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Yes
No
Do you have regular access to the internet, an email address, and either a Smarphone or Tablet?
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Yes
No
Name
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Name
First
First
Last
Last
Email
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Confirm Email
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Mobile #
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Address
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Address
Address
Address
City
City
State/Province
State
Alabama
Alaska
Arkansas
Arizona
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
State/Province
Zip/Postal
Zip/Postal
Before we begin; a short note about opinion research and our commitment to protect your rights for privacy. Do you Agree to these Terms?
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No
Yes
The purpose of this marketing research project is to gather opinions relating to products or services and is in no way an attempt to sell you anything. Our sponsors use this feedback to improve their products and services. All information you provide gets stored on servers in the United States for a brief period of time while we tally up the results. Once the results have been shared in aggregate with the research sponsor, the information you share is deleted. We promise to respect your rights for privacy and will never share your data with outside parties for other purposes. Any information you provide is done so voluntarily and kept strictly confidential.
0a. I have tested positive for COVID-19 in the past 14 days
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Yes
No
0b. I have experienced cough, fever over 100.4 degrees Fahrenheit or shortness of breath in the past 14 days
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Yes
No
0c. I have been in close contact with someone who has had a cough, fever over 100.4 degrees Fahrenheit or shortness of breath in the past 14 days
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Yes
No
0d. I have been in close contact with someone who is infected with COVID-19 in the past 14 days
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Yes
No
0e. Have you been instructed to self-quarantine for any reason?
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Yes
No
0f. I agree to wear a face mask while at the research facility
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Yes
No
1. How do you identify?
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Male
Female
Non-binary
Other
Prefer not to Answer
2. Birthday
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3. Sometimes the type of work people do affects the products they buy. Are you, or is any member of your household currently employed by, previously employed by or retired from any of the following types of companies? (Please select all that apply.)
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An advertising agency or public relations firm
For a market research firm or the market research department of a company
In radio, television, or for a newspaper or magazine
A company that manufactures, distributes or sells any pharmaceutical products
A company that manufactures, distributes, or sells any health, beauty or feminine hygiene products
A company such as Colgate-Palmolive, Johnson & Johnson, Kimberly Clark, Procter & Gamble, Unilever or Playtex
None of these
4. Are you pregnant or trying to conceive?
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Yes
No
5a. How often do you experience unintentional urine loss?
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Never
One to Three Times a Month
About Once a Week
Several Times a Week
Every Day and/or Night
5b. Many women experience unintentional urine loss with activities like laughing, coughing, sneezing, lifting, exercise, etc. Women of all ages can be affected by this common phenomenon and the severity can vary from a few drops to larger quantities. Approximately how often, if at all, have you, yourself, experienced this in the past three months?
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Never
One to Three Times a Month
About Once a Week
Several Times a Week
Every Day and/or Night
5c. It is also common for women of all ages to experience unintentional urine loss because they can’t get to the bathroom in time due to a sudden uncontrollable urge to urinate. How often, if at all, have you, yourself, experienced this in the past three months?
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Never
One to Three Times a Month
About Once a Week
Several Times a Week
Every Day and/or Night
6. Thinking of the past 3 months, which of the following products, if any, did you use for your unintentional urine loss?
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Feminine protection liners (such as Always, Carefree, Kotex)
Feminine protection pads (such as Always, Kotex, Stayfree)
Bladder control liners (such as Always Discreet, Poise, Tena, Serenity)
Bladder control pads (such as Always Discreet, Poise, Tena, Serenity)
Disposable absorbent undergarments (such as Always Discreet, Depends, Assurance)
Other (Specify)
None of these
6a. You mentioned that you have used both specialty incontinence pads and disposable underwear/pants/briefs specially designed for unintentional urine loss in the past 3 months. Which do you primarily use? (Please select one.)
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Pads
Pants
7. In a typical week, when do you use bladder control products?
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During the day only
During the day and some nights
During the day and night
During the night and some days
During the night only
Other (SPECIFY)
Other (SPECIFY)
7a. How often do you change your current incontinence product during the night?
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1-2 times per week
3-4 times per week
5-7 times per week
I don’t need to change during the night
7b. Now, thinking about your USUAL product, in an average week, do you typically experience urine leak onto your underwear or clothing?
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Yes
No
7c. We would like to you to give your usual product a grade (like in school: A, B, C, D or F)
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A+
A
A-
B+
B
B-
C+
C
C-
D+
D
D-
F
7d. Thinking about your usual incontinence product, what feeling comes to mind?
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8a. Over the past 3 months, how often have you, yourself used bladder control pads for unintentional urine loss?
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One or more products per day
3 or more products per week
One product per week
2-3 products per month
One product per month
Less than 1 product per month
8b. Women have different ways to use pads with their undergarments. How do you use your bladder control pads most often?
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Wear the product with underwear
Wear the product without underwear
Other (Specify)
Other (Specify)
9a. How would you rate your current product overall?
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Excellent
Very Good
Good
Fair
Poor
9b. What is the size of your regular underwear (i.e. panties)?
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Extra Small (size 4)
Small (size 5)
Medium (size 6)
Large (size 7)
Extra Large (size 8)
XXL/2X (size 9)
XXXL/3XL (size 10)
Other
Other
10. Below is a list of bladder control pad brands. Please indicate the brands of bladder control pads that you have used in the past 3 months.
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Attends
Always Discreet
Poise
Tena Intimates
CVS store brand
Target Up & Up brand
Walgreens Certainty brand
Walmart Equate brand
Other store brand (Specify)
Other store brand (Specify)
Other Brand (Specify)
Other Brand (Specify)
I have not used bladder control pads in the past 3 months
11a. You mentioned using Attends. Please tell me the specific type of Attends that you, yourself, have used AT ALL in the past 3 months
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Attends Regular
Attends Extra
Attends Extra Plus
Attends Ultra Plus
Attends Ultimate
Other Attends
Other Attends
12a. You mentioned using Attends. Please tell me the specific type of Attends that you, yourself, have used
MOST OFTEN
in the past 3 months
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Attends Regular
Attends Extra
Attends Extra Plus
Attends Ultra Plus
Attends Ultimate
Other Attends
Other Attends
11b. You mentioned using Always Discreet. Please tell me the specific type of Always Discreet that you, yourself, have used
AT ALL
in the past 3 months
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Always Discreet Very Light Regular Liners
Always Discreet Very Light Long Liners
Always Discreet Light Ultra Thins Regular Pads
Always Discreet Moderate Regular Pads
Always Discreet Moderate Long Pads
Always Discreet Maximum Regular Pads
Always Discreet Maximum Long or Heavy Long Pads
Always Discreet Extra Heavy Pads
Always Discreet Extra Heavy Long Pads
Other Always Discreet (Specify)
Other Always Discreet (Specify)
12b. You mentioned using Always Discreet. Please tell me the specific type of Always Discreet that you, yourself, have used
MOST OFTEN
in the past 3 months
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Always Discreet Very Light Regular Liners
Always Discreet Very Light Long Liners
Always Discreet Light Ultra Thins Regular Pads
Always Discreet Moderate Regular Pads
Always Discreet Moderate Long Pads
Always Discreet Maximum Regular Pads
Always Discreet Maximum Long or Heavy Long Pads
Always Discreet Extra Heavy Pads
Always Discreet Extra Heavy Long Pads
Other Always Discreet (Specify)
Other Always Discreet (Specify)
11c. You mentioned using Poise. Please tell me the specific type of Poise that you, yourself, have used
AT ALL
in the past 3 months
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Poise Very Light Regular Liners
Poise Very Light Long Liners
Poise Light ContourFIT Regular Pads
Poise Light Ultra Thins Regular Pads
Poise Light Ultra Thins Long Pads
Poise Light ContourFIT Long Pads
Poise Light Ultra Thins with Wings Pads
Poise Ultra Thin Moderate Regular
Poise Hourglass Shape Moderate Pads
Poise Moderate Regular Pads
Poise Moderate ContourFIT Regular Pads
Poise Thin Shape Moderate Regular Pads
Poise Moderate Long Pads
Poise Moderate ContourFIT Long Pads
Poise Hourglass Shape Maximum Regular Pads
Poise Thin-Shape Maximum Regular Pads
Poise Maximum Regular Pads
Poise Maximum ContourFIT Regular Pads
Poise Ultra Thin Maximum Long
Poise Maximum Long Pads
Poise Maximum ContourFIT Long Pads
Poise Hourglass Shape Ultimate Regular Pads
Poise Thin-Shape Ultimate Regular Pads
Poise Ultimate Regular Pads
Poise Ultimate ContourFIT Regular Pads
Poise Ultra Thin Ultimate Long
Poise Ultimate Long Pads
Poise Ultimate ContourFIT Long Pads
Poise Ultimate Long Overnight Pads
Poise Overnight Pads Extra Coverage
Other Poise (Specify)
Other Poise (Specify)
12c. You mentioned using Poise. Please tell me the specific type of Poise that you, yourself, have used
MOST OFTEN
in the past 3 months
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Poise Very Light Regular Liners
Poise Very Light Long Liners
Poise Light ContourFIT Regular Pads
Poise Light Ultra Thins Regular Pads
Poise Light Ultra Thins Long Pads
Poise Light ContourFIT Long Pads
Poise Light Ultra Thins with Wings Pads
Poise Ultra Thin Moderate Regular
Poise Hourglass Shape Moderate Pads
Poise Moderate Regular Pads
Poise Moderate ContourFIT Regular Pads
Poise Thin Shape Moderate Regular Pads
Poise Moderate Long Pads
Poise Moderate ContourFIT Long Pads
Poise Hourglass Shape Maximum Regular Pads
Poise Thin-Shape Maximum Regular Pads
Poise Maximum Regular Pads
Poise Maximum ContourFIT Regular Pads
Poise Ultra Thin Maximum Long
Poise Maximum Long Pads
Poise Maximum ContourFIT Long Pads
Poise Hourglass Shape Ultimate Regular Pads
Poise Thin-Shape Ultimate Regular Pads
Poise Ultimate Regular Pads
Poise Ultimate ContourFIT Regular Pads
Poise Ultra Thin Ultimate Long
Poise Ultimate Long Pads
Poise Ultimate ContourFIT Long Pads
Poise Ultimate Long Overnight Pads
Poise Overnight Pads Extra Coverage
Other Poise (Specify)
Other Poise (Specify)
11d. You mentioned using Tena Intimates. Please tell me the specific type of Tena Intimates that you, yourself, have used
AT ALL
in the past 3 months
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Tena Serenity/Intimates Active Liners Regular
Tena Serenity/Intimates Active Liners Long
Tena Serenity/Intimates Active Ultra-thin Regular Pad
Tena Serenity/Intimates Active Ultra-thin Long Pad
Tena Serenity/Intimates Anywhere Ultra-thin Long Pad
Tena Serenity/Intimates Anywhere Ultra-thin Regular Pad
Tena Serenity/Intimates Stylish Ultra-thin with Wings
Tena Serenity/Intimates Ultra Thins Moderate Regular Pads
Tena Serenity/Intimates Moderate Regular Pads
Tena Serenity/Intimates Moderate Long Pads
Tena Serenity/Intimates Moderate Long Pads with Aloe Vera
Tena Serenity/Intimates Ultra Thins Heavy Regular Pads
Tena Serenity/Intimates Heavy Regular Pads
Tena Serenity/Intimates Heavy Long Pads
Tena Serenity/Intimates Ultimate Regular Pads
Tena Serenity/Intimates Ultimate Long Pads**
Tena Serenity/Intimates Overnight Pads**
Other Tena Serenity/Intimates (Specify)
Other Tena Serenity/Intimates (Specify)
12d. You mentioned using Tena Intimates. Please tell me the specific type of Tena Intimates that you, yourself, have used
MOST OFTEN
in the past 3 months
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Tena Serenity/Intimates Active Liners Regular
Tena Serenity/Intimates Active Liners Long
Tena Serenity/Intimates Active Ultra-thin Regular Pad
Tena Serenity/Intimates Active Ultra-thin Long Pad
Tena Serenity/Intimates Anywhere Ultra-thin Long Pad
Tena Serenity/Intimates Anywhere Ultra-thin Regular Pad
Tena Serenity/Intimates Stylish Ultra-thin with Wings
Tena Serenity/Intimates Ultra Thins Moderate Regular Pads
Tena Serenity/Intimates Moderate Regular Pads
Tena Serenity/Intimates Moderate Long Pads
Tena Serenity/Intimates Moderate Long Pads with Aloe Vera
Tena Serenity/Intimates Ultra Thins Heavy Regular Pads
Tena Serenity/Intimates Heavy Regular Pads
Tena Serenity/Intimates Heavy Long Pads
Tena Serenity/Intimates Ultimate Regular Pads
Tena Serenity/Intimates Ultimate Long Pads**
Tena Serenity/Intimates Overnight Pads**
Other Tena Serenity/Intimates (Specify)
Other Tena Serenity/Intimates (Specify)
13a. What is the number of drops that indicate the size/absorbency of the pad you used most often in the past 2 weeks? You will most likely see filled in & empty drops on the side of your packaging. Note how many are filled in.
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13b. What is the pad count in the package of pads you used most often in the past 2 weeks?
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Your Poise Product
(P) Product Name
(P) # pads the package came with
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(P) UPC Code (Number of 10-12 digits usually near the barcode)
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(P) # used during a typical day
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(P) # used during a typical night
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Your Always Discreet Product
(AD) Product Name
(AD) # pads the package came with
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(AD) UPC Code (Number of 10-12 digits usually near the barcode)
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(AD) # used during a typical day
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(AD) # used during a typical night
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Health & Home Life
17. Rate your overall health from 1 (lowest) to 10 (best)
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18. Please note your reason for your health rating
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19. Which of the following best describes your current living situation? (Please select one.)
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Currently living at home, taking care of myself
Currently living at home, cared for by a caretaker
Currently living with family members (i.e. adult children), taking care of myself
Currently living in an assisted living community
20. Who in your household is the primary decision maker and purchaser for the adult incontinence products that you, yourself, use? (Please select one.)
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I usually choose the brand and buy the brand myself
I usually tell someone else what brand to buy
Someone else chooses and buys the brand for me
21. When it comes to the use of your adult incontinence products, which best describes your current situation? (Please select one.)
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I always need assistance to change the products
I often need assistance to change the products
I sometimes need assistance to change the products
I never need assistance to change the products
22. Have you had any surgeries in the past 3 months? If so, what type of surgery? (Please select one)
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Yes (Specify type of surgery)
Yes (Specify type of surgery)
No
23. Do you have any upcoming surgeries planned? If so, what type of surgery? (Please select one)
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Yes (Specify type of surgery)
Yes (Specify type of surgery)
No
24. Which of the following best describes your employment? (Please select one)
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Working full-time
Working part-time
Laid-off / looking for work
A stay-at-home mom
Student (full or part- time)
Retired
25. Which of the following ranges includes your annual household income before taxes? (Please select one.)
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Under $15,000
$15,000-$24,999
$30,000-$39,999
$40,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000+
26. Which of the following best describes your ethnic background? (Please select one)
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Caucasian/White
African American/Black
Hispanic/Latino
Asian/Pacific Islander
Native American
Other
27. How comfortable are you discussing your feelings and opinions on the subject of unintentional urine loss in a one-on-one setting? (Please select one)
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Very comfortable
Somewhat comfortable
Somewhat uncomfortable
Very uncomfortable
28. When was the last time, if ever, that you, yourself, participated in a marketing research study about adult incontinence products for any marketing research company? (Please select one)
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Within the past 3 months
More than 3 months ago
Never
29. Are you currently participating or scheduled to participate in any market research projects with us or any other market research company?
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Yes
No
31. Are you regularly menstruating
Yes
No
Other (Specify)
Other (Specify)
37. How would you describe the intensity of your unintentional urine loss during the past 3 months? (Choose one)
Few drops or less
Small spurts
Streams
Sudden gushes
Large amounts (up to a full bladder)
Preferences (Final Section)
38a. I prefer pads with the highest absorbency possible, providing a good sense of security.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
38b. I prefer thicker pads because they make me feel protected and dry.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
38c. I prefer thicker pads, even if sometimes they feel uncomfortable/bulky.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
38d. I prefer thinner pads because they are more comfortable wear.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
38e. I prefer thinner pads because they protect just as well as thicker pads and are discreet to wear under my clothes.
Strongly Agree
Agree
Neither Agree Nor Disagree
Disagree
Strongly Disagree
We request that you use the incontinence underwear as instructed during the 4-week test. Would you be willing to participate in all parts of this study?
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Yes
No
If you are human, leave this field blank.
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