Thank you for your interest in ID Lubricants. Your name, address, email, and answers to the questions in this survey are confidential to Westridge Laboratories. Information will not be sold, published, released, submitted, or given away. Free samples are only available to residents in the Contiguous United States, Alaska and Hawaii. How did you hear about ID Lubricants? Check all that apply Friend Retail Store (field required when checked) Non-Profit Agency/Clinic Magazine/Newspaper (field required when checked) Doctor's Office Event (field required when checked) Search Engine TV/Radio/Movie/Website (field required when checked) Are you using lubricants? Yes No Which of the following lubricants have you heard of? Check all that apply ID O'My KY Aqua Lube ForPlay Elbow Grease Gun Oil JO System Summit Slippery Stuff Astroglide Wet Probe Rain Eros Store Brand Never heard of any Other (field required when checked) Where do you purchase your lubricants? Check all that apply Grocery Store Pharmacy Mail order Adult Store Online Specialty Store Never Purchased Other (field required when checked) How often do you purchase lubricants? Once a week Once every 3 months Once a month Once a year Never   What is the average price (in US dollars) you pay for lubricants? $5.00 $10.00 $15.00 $20.00 $25.00 and Above Never purchased When choosing lubricants what are (or would be) the most important qualities?   Longevity Very Important Important Not Important   Taste Very Important Important Not Important   Texture Very Important Important Not Important         Price Very Important Important Not Important Availability Very Important Important Not Important Ingredients Very Important Important Not Important What is your marital status? Married Single Domestic Partner Long Term Relationship What is your gender? Male Female What is your sexual orientation? Heterosexual Homosexual Bisexual Decline to state   Comments   Information to receive your free sample. Promo Code: (field not required) Name: Email: Age: 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 and up Street Addresses only (No P.O. Boxes Allowed) Street Address:   Apt/Ste #: City: State/Province: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:
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