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Lubricant Gel
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Personal lubricant water-based
1
What lubricating gel are you rating?
Select one answer
Personal lubricant water-based without flavour
Personal lubricant water-based Strawberry
Personal lubricant water-based Lime
Personal lubricant water-based Banana
Personal lubricant water-based Melon
Personal lubricant water-based Vanilla
2
Indicate the lot of the used product
You can usually find the lot at the bottom of the package after the letters LOT. On the tube and sachets it is embossed in the weld
3
Sex
Select one answer
Female
Male
4
What is your age?
Select one answer
less than 20 years old
21 - 40 years old
41 - 60 years old
more than 61 years old
5
How often do you use lubricant during sex?
Select one answer
Always
Often
Sometimes
Exceptionally
6
Why did you use this product?
Select one or more answers
Prevention of long-term vaginal dryness.
Prevention of pain / discomfort during intercourse
Improvement of vaginal lubrication during intercourse
For anal intercourse only
Moisturization of the mucous membrane for a reason other than intercourse (use of erotic toys, application of menstrual tampons, etc.)
Other
7
Rate whether the quality of your sex life has improved due to using this product.
Select one answer
Significant improvement
Slight improvement
No effect
8
How satisfied are you with the overall effectiveness of the product?
Select one answer
Completely satisfied
Partially satisfied
Unsatisfied
9
Did you experience any side effects after using this product?
Select one or more answers
No side effects
Vaginal irritation
Vaginal swelling
Vaginal redness
Swelling or irritation on partner side
Adverse effect during pregnancy
Other, please describe
10
Was it necessary to seek medical attention after using the product?
Select one answer
Yes
No
11
How do you rate the effectiveness of the lubricating gel after its application?
Select one answer
Satisfactory
Satisfactory, but need to be supplemented
Does not meet my needs
12
How are you satisfied with the product's properties - consistency, taste and smell?
The rating scale (1-5) is understood as: 1 – complete dissatisfaction 5 – absolute satisfaction
13
Have you used this product in combination with a condom?
Select one answer
Yes - a latex condom
Yes - latex free condom
No
14
Would you welcome any changes to the product?
For example: change the packaging / volume / flavor / effect of the lubricating gel
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