Pre-screening Questionnaire

Contraceptive (Birth Control) for Women

13 - 45 years of age
Compensation Provided

Contact Information

Please enter your legal name, a valid phone number, and a valid email address where you can be contacted.

Eligibility Questions

Please answer the following questions to determine your eligibility for this study.

Are you a female between 13 and 45 years of age?
Are you sexually active and have been regularly menstruating for at least 3 months?