Week 3 Questionnaire

Study #KVM20424

Study Title: Consumer Test - Vulvovaginal Moisturizer 2.0

Please complete this questionnaire after 21 days of using the product (at least) twice daily.

The questionnaire will take approximately 2-5 minutes to complete.

Reminder: All responses are kept strictly confidential and you will not be identified in any research reporting, documentation, or publications.

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* 1. Please enter the start/end dates for your Week 3 trial period.

Week 3 Start Date:

Date

Week 3 End Date:

Date

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* 2. Enter your email address.
(Please use the same email address you provided on previous forms.)

Email Address

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* 3. How would you rate the severity of your vulvar/vaginal dryness, on average, over the last 7 days? (10 being the most severe.)

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* 4. How would you rate the severity of your vulvar/vaginal discomfort or irritation, on average, over the last 7 days? (10 being the most severe.)

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* 5. How would you rate the severity of your vulvar/vaginal itching, on average, over the last 7 days? (10 being the most severe.)

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* 6. How would you rate the severity of your vulvar/vaginal stinging or burning, on average, over the last 7 days? (10 being the most severe.)

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* 7. How would you rate the severity of pain during intimacy, on average, over the last 7 days? (10 being the most severe.)

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* 8. Have you experienced any of the following sensations upon application of the lotion?

Tingling

Stinging/Burning

None of the above

If so, please explain:
- The intensity of the sensation(s)
- How long the sensation(s) lasts after application
- If the sensation(s) has lessened in intensity with continued use of the lotion

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* 9. Did you feel any improvement in your overall vulvar/vaginal symptoms after the third week of using the lotion?

Yes - I experienced continued improvement in week 3

Improvement has not progressed since week 2

Improvement has not progressed since week 1

No improvements in week 1, 2, or 3

Comments:

Week 3 Questionnaire

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* 1. Please enter the start/end dates for your Week 3 trial period.

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* 2. Enter your email address. (Please use the same email address you provided on previous forms.)

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* 3. How would you rate the severity of your vulvar/vaginal dryness, on average, over the last 7 days? (10 being the most severe.)

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* 4. How would you rate the severity of your vulvar/vaginal discomfort or irritation, on average, over the last 7 days? (10 being the most severe.)

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* 5. How would you rate the severity of your vulvar/vaginal itching, on average, over the last 7 days? (10 being the most severe.)

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* 6. How would you rate the severity of your vulvar/vaginal stinging or burning, on average, over the last 7 days? (10 being the most severe.)

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* 7. How would you rate the severity of pain during intimacy, on average, over the last 7 days? (10 being the most severe.)

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* 8. Have you experienced any of the following sensations upon application of the lotion?

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* 9. Did you feel any improvement in your overall vulvar/vaginal symptoms after the third week of using the lotion?

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* 10. What are your other thoughts on the lotion or your symptoms after 3 weeks of use?

* 2. Enter your email address.
(Please use the same email address you provided on previous forms.)