FISY Survey - February 2022

FISY Survey

Thank you so much for agreeing to fill in this survey. It will help us so much in our progress to serve you in the best way possible! 🙌
Your name*

First NameLast Name
Your email*
example@example.com
Your age*
years old
Your nationality*
Your country of residence*
Your status*

single, ready to minglein a discovery period of relationshipin a relationship for 3+ yearsmarriedmarried & have childrendivorced/widowedI am not sure, don't really want to answer
Do you use birth control pills?*
Why did you stop using it?
What stopping you from using it?
For how long have you been taking the pills?

just started recently (1-2 months)less than 1 year1-2 years3-5 yearsmore than 5 years
Which type/brand of birth control pills do you currently take? And if you have used any different ones in the pas, would be cool if you share those as well! *
Type an answer
How many packs of birth control pills do you buy at once?*

I buy 1 pack for each month2-3 packs so I can use them for 2-3 months4-6 packs so I can use them for 4-6 monthsmore than 6 packs
How much do you spend on birth control pills per month?*

< 100 USD100-300 USD300-500 USD500+ USD
Does your health insurance pay or reimburse you for your birth control?*

I don’t have health insuranceI have health insurance but I am unsure if it covers itI have health insurance but it doesn't cover itPartially coveredFully covered
Which other types of contraceptives have you considered taking apart from the birth control pills? (You can choose multiple options)*

CondomsIntrauterine Device (IUD)The Contraceptive ImplantThe Contraceptive InjectionContraceptive RingNone of the aboveOther
What do you feel like are the side effects that birth control pills cause to your body? *
you can always put "none" in the space above
How often do you check your hormones?*

Every monthonce in 3 monthsonce in 6 monthsonce a yearI don't remember when was the last time I did it
Do you check with the doctor the relevance of continuation with the same type/brand of pills?*

Yes, and it stays the sameYes, and I already changed a couple of brandsNo, I haven't checked yet, so using the sameI just don't do it, don't really see the pointOther
Where do you normally buy your birth control pills?*

PharmacySupermarketHospitalOrder onlineSometimes pharmacy, sometimes onlineI’ve subscribed to the service of deliveryOther
Do you have challenges with finding necessary birth control pills?*
What are the challenges that you normally face?*

Out of stockI frequently have to buy a substitute of the ones I needI just normally forgetToo expensiveThe pharmacy / spot where I buy them is too far awayOther
Do you buy the pills yourself? *
Who do you ask to buy it for you?
Would you prefer your pills to be delivered to your mailbox every month on a specific day and time? *
Would be great if you can share why :)
The birth control pill for me is a ______ (1-2 words):*
Anything else you'd like to share with us?
Should be Empty: