[About the authors of this survey]

Institute of Social and Preventive Medicine - Faculty of Medicine - University of Geneva - Switzerland

Questionnaire on sexuality and smoking
Please answer even if you have never smoked

Read this first:
  1. The aim of this study is to better understand the links between smoking and sexual function, a topic that is not well documented. In particular, we are interested in studying the effects of smoking cessation on sexual function. By participating in this survey, you contribute to enhancing scientific knowledge on this topic.
  2. To participate, you must be at least 18 years old.
  3. You will be asked detailed questions about your sexuality. If you feel uncomfortable about answering these questions, you may choose not to participate.
  4. We will cover and compare current and former as well as people who have never smoked, so please answer even if you are a non-smoker. You will need 10-15 minutes to complete this questionnaire.
  5. If you wish to, you will be invited after one week, 2 and 12 months to answer follow-up surveys (total 4 surveys including this one), participation is voluntary and you can stop participating at any time without having to give any explanation.
  6. Your responses will be stored in a computer file for statistical analysis, and will not be transmitted to any third party. However, the people in charge of the ethics committee and the medical research authorities in Switzerland will have the right to access the data, subject to confidentiality.
  7. We will ensure a high security level for recorded data, particularly to minimize the risk of access by hackers.  
  8. If you do not want your answers to be kept on file, please do not respond.
  9. This study is independent of any industry (pharmaceutical, medical devices, tobacco, etc.), and was approved by the ethics committee of the Geneva University Hospitals.
  10. Results of this study will be published in a scientific journal.
  11. The study begins in May 2011 and ends in December 2015, we expect 2000 participants.
  12. You can contact the principal investigator (JF Etter) for more information.  

I read and understood the information above, and I consent to take part in this study
How old are you? I am years old

About the author of this study:
Jean-Francois Etter, Dr. Polit Sci. ( ) 
is a senior lecturer at the Faculty of Medicine of the University of Geneva, Switzerland. He is in charge of the Stop-tabac.ch website and is the author of numerous scientific publications.

Jason M. Greenfield, MD
is a board-certified urologist, Urology Associates of North Texas, USA, and is the author of numerous scientific publications.

Kevin T. McVary, MD
is a professor of urology at the Feinberg School of Medicine, Northwestern University, Chicago USA, and is the author of numerous scientific publications.

[Created by JF Etter, 24.03.2011]