This short, anonymous survey helps One in Every 10 plan where to send free period products and which programs to build. It takes about 5 minutes. You can skip any question. We do not ask for your name, email, or phone number. We ask your age range, race or ethnicity, and ZIP code, so answers are de-identified rather than fully anonymous. We share results only as totals.
This survey is not medical advice. It is not part of a university research study. If we begin a university-approved study later, it will have its own page and consent form.
0.Are you 18 or older?
Questions 1 through 9 use the Van Ness Period Product Insecurity Scale. Source: Bowman KM. Counting every cycle: Validating a measure of period product insecurity in the United States. Women's Health. 2026. https://doi.org/10.1177/17455057261426796. Used under the Creative Commons Attribution-NonCommercial 4.0 license.