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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: (*)

      Support Services declaration of consent

      *Limited supply is available. While quantities last. 

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