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      Many people fit catheterization into their daily routines, but there still might be times when you need help to solve a problem. Let us understand your needs by filling out a short questionnaire below and receive a free gift of your choice. 

      Fill out the form below to receive a FREE gift of your choice! 

      One of our Care Advisors may be in touch with you to discuss your results.

      Please note: If you have received a gift by completing this form in the last 12 months you are not eligible for the gift.

      Biological Sex: (*)

      How often do you use intermittent catheters? (*)




      Do you feel you have control of your bladder situation? (*)




      In the last 3 months I have had symptoms of a urinary tract infection: (*)




      The amount of occasions where these symptoms required treatment with antibiotics: (*)




      How are you feeling right now? (*)




      Do you feel confident to live the life you want? (*)




      Select Your Free Gift: (*)


      Support Services declaration of consent

      *Limited supply is available. While quantities last. 

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