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Let us understand your needs by filling out a short questionnaire below. One of our Care Advisors will be in touch with you to discuss your results.

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?


Describe the output from your stoma


Which type of pouching system do you prefer?


I would like to be entered to win a MacBook Air

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Contest ends on November 30th 2020. For full contest details please visit: www.coloplast.ca/contestrules

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