Tell Us About Your Slynd® Experience
The information collected in this survey is anonymous and not personally identifiable. This survey is only intended to provide Exeltis an aggregate understanding of patient experiences with Slynd.
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1.
What is your age?
12-17
18-24
25-34
35+
2.
What forms of birth control have you previously used?
Select all that apply.
Pill
IUD (Intrauterine Device)
Patch
Implant
Ring
Injectable
Other
I have not been on birth control previously
3.
If you have used a pill other than Slynd, please indicate if it was any of the following brands.
Select all that apply.
Lo Loestrin Fe
Taytulla/Balcoltra/Natazia
Micronor or generic Norethindrone
Yasmin/Yaz or generic version
None of these
4.
How did you learn about Slynd?
Select all that apply.
Doctor’s office
Online
Friend/Family
Other
5.
Why did your doctor prescribe Slynd for you?
Select all that apply.
I have concerns about my weight.
I occasionally smoke.
I heard from my doctor that I am at risk of cardiovascular disease.
I am breastfeeding my baby.
I’m a teenager.
I retain fluids more than usual while taking birth control
I don’t want to take any unneccesary hormones.
6.
Did you face any challenges while filling your Slynd prescription?
Select all that apply.
No. I successfully obtained my Slynd prescription.
Yes. Slynd was not covered under my insurance plan.
Yes. Slynd required a prior authorization from my doctor’s office in order to be covered by my insurance.
Yes. My out of pocket cost was higher than I was expecting with the savings card.
Yes. Slynd was not available at the pharmacy and needed to be ordered.
Yes. My Slynd prescription was switched to an alternative birth control pill.
Yes. Reason not listed above.
7.
Are you aware that Slynd offers a patient savings program?
Yes
No
(Please talk to one of our live nurses or see savings program information on Slynd.com)
8.
What benefits of Slynd do you find most meaningful?
Select all that apply.
If I miss my regularly scheduled pill, I have up to 24 hours to remember to take it
Manageable bleeding
Estrogen-free formulation
I have a high BMI and I can still take Slynd
I'm able to get a prescription online
9.
If you could change anything about Slynd, what would you suggest?
Select all that apply.
Affordability
Bleeding profile
Dosing regimen
Flavor
Simpler online purchase option
10.
Would you say that your bleeding improved since you began taking Slynd?
Yes
No (Skip to Question #12)
I haven’t taken Slynd (Skip to Question #12)
11.
If you experienced irregular bleeding prior to starting Slynd, how long did it take for your bleeding to improve with Slynd?
No adjustment period needed.
< 3 months
3-4 months
5-6 months
> 6 months
12.
Do you plan on refilling your Slynd prescription?
Yes
No
Not sure yet
13.
On a scale of 1-5, with 5 being most likely, how likely are you to tell your friend or family member to ask their doctor about Slynd?
Not Very Likely
Somewhat Unlikely
Neutral
Somewhat Likely
Very Likely
Not Very Likely
Somewhat Unlikely
Neutral
Somewhat Likely
Very Likely
Current Progress,
0 of 13 answered
