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Having a snug fit to your stoma is the key to preventing leakage from your ostomy pouching system. 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.

How would you best describe the form of the area around your stoma?*

Is the form of the area around your stoma Uniform or Variable?*

Is the area around the stoma soft or firm?*

Do you have superficial or deep skin irregularities around your stoma? Superficial creases or deep folds?*

Where is your stoma located?*

What’s the position of the stoma opening in relation to the surface of your skin?*

Select Your Free Gift:*

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Limited supply is available. While quantities last. 


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