Condom Distribution Survey

We are keen to hear your views on the Condom Distribution Scheme. Please complete a very brief survey today and help us evaluate and improve the service. The survey is completely anonymous and will not affect your order in any way. Thank you.

Question Title

* 1. Please rate your experience of ordering condoms today

Poor

Average

Good

Please suggest any changes we could make to improve things?

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* 2. Have you ordered condoms online before?

Yes

No

Not Sure

If you answered yes to question 2 please go to question 3

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* 3. When you ordered condoms last time did they arrive within 2 weeks of ordering?

Yes

No

Not Sure

Please add any comments or suggestions about the service