NORM Survey

Thanks for your interest in our survey on circumcision and foreskin restoration. Your answers help us to better understand those who visit our website and allow us to better serve others seeking information on foreskin restoration.

Age

Please enter your age

Age Circumcised

Infant (less than 1 year old)
Child (1-10 years old
Adolecent (11-18)
Adult
I am intact (not circumcised)

Are you happy that you are circumcised?

Yes
Neutral - Don't care one way or the other
No

How has being circumcised affected your sex life?

Positive effect - sex is better
Neutral, no effect on my sex life
Neutral, some things are better and some are worse
Negative effect - sex is worse

What is better or worse about your sex life?

When did you first hear about foreskin restoration?

Have you restored or tried restoring your foreskin using non-surgical techniques?

Yes
No

When did you start restoring your foreskin?

If you have a spouse or partner, which option most closely matches their reaction to your interest in foreskin restoration? (Check one)

Do not have spouse or partner
Very supportive, excited, encouraging, suggested restoration
Supportive, curious
Indifferent, neutral, didn’t care one way or the other
Unsupportive, disdain, preffered you didn’t restore
Very negative, ridicule, put downs, threatened you if you restored

What race or geographic regions do you most identify with?

North America (American or non-European born)
Europe (Western)
Europe (Eastern and former Soviet countries)
Asia
Africa
South or Central American
Middle Eastern
Native (Indigenous peoples)
Other
Prefer not to answer

You may choose more than one choice

Email

Additional Comments or Questions

Name

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Please Note

The information on this website is for educational purposes only. It is not intended to be medical advice or to be used to diagnose, treat, cure or prevent any disease or condition. Please consult with a qualified health professional before undertaking foreskin restoration.

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Contact Us

We are here to help, please feel free to contact us using one of the following methods:

Email: info@norm.org
Phone or Text: (510) 833-6676
Mail: NORM, 440 N Barranca Ave #5209, Covina, CA 91723

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