EPS satisfaction survey

As a user of the Erotic Personal System (EPS) for obtaining semen samples, we will be very grateful if you could answer this questionnaire. Choose from the statement the option that meets your opinion on the best:

Registration number*Por favor, deja este campo vacío.
Was it the first time you got a semen sample for an analysis?*

If you have already had a sperm analysis, which stimulation method did you use last time you left the sample?*

How appropriate do you consider the sampling room?*
Por favor, deja este campo vacío.
Did you previously watch the informative video about the EPS on Marqués Institute web?*

Were the written instructions about the use of the EPS helpful to you?*

Which of the method/s of stimulation have you used to obtain the sample? (Multiple choice)*
NoneMagazinesTV/VideoVirtual reality glassesSilicone vagina
Did the method (s) of stimulation you used help you to get an erection? *

Did the method (s) of stimulation you used help you to ejaculate?*

Did the method (s) of stimulation you used help you to facilitate the aroused?*

Why did you take the EPS pack (virtual reality glasses, silicone vagina)? *

I have read and accept the following conditions

CONDITIONS:

The personal data here facilitated will be integrated in the File of Clinical History of INSTITUT MARQUÈS, respecting the confidentiality of the information facilitated, and in no case the data will be employed for any one other purpose or yielded to third. In any case, you have the right to exert the rights of access, rectification, cancellation and opposition recognised to the Law 15/1999, to the Institut Marquès front desk: Pº Manuel Girona 33, 08034, Barcelona.