Welcome to the wipe survey.

You have to answer to the questions by checking your answer, or filling the blank space.

 1. Do you wipe back-to-front, or front-to-back?

\[ \] Back-to-front \[ \] Front-to-back

 2. Do you wipe while sitting, or standing?

\[ \] Sitting \[ \] Standing

 3. After how many times do you stop wiping if the poo persists?

\_\_\_\_\_\_\_ times.

 4. If there is no paper left to wipe, what do you do?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

 5. Do you wipe after you pee? (males only)

\[ \] Yes \[ \] No

 6. If there is still poo on the paper, but you start bleeding, do you continue wiping until all the poo is erased?

\[ \] Yes \[ \] No

 The Council wants to thank you for taking the time to answer to this survey.