Let your voice be heard! Help a reporter doing a story on Vasalgel get an idea of the men who are most interested in the product. Take this 2 question survey – will only take a minute or two. And while we know that women also have opinions about family planning and birth control, we want to limit the survey to men to make it simpler.

Question Title * 1 . You are: Single/dating Married/coupled Other (please specify) Question Title * 2 . You: Want children in the future Are done having children Do not want children Unsure at this time Done