Our Survey

 

Your opinion counts! Together we can help millions of women.

 

No personal details are required from individuals. This survey is only to obtain statistics for a new innovation to prevent stress incontinence in women.

 

 

Age group?

18-25
25-35
35-45
45-55
55-65
65+
Cause of incontinence?

Coughing
Sleeping
Sneezing
Unaware
Laughing
Lifting
Other* .*please specify
Protection?

Use of incontinence pad(s)
Use of incontinence pants
Use of panty liners
Nothing
Other* ..*please specify


Number of times changed in a day?

0-2
3-5
6-8
More
How much do you pay per month for your product(s)?

. *please specify: £ € $

 
Products tried?

Use of incontinence pad(s)
Use of incontinence pants
Other* *please specify
Have you had a surgical repair?

Yes
No
Other* *please specify
Are you satisfied with the results?

Yes
No
Not Applicable

 

Would you be prepared to try our new clinically tested, re-usable product? Small and discreet enough to fit into the smallest handbag. It is a revolutionary new product, which is hygienic, discreet and re-usable, that prevents stress incontinence

Yes
No

 

 

 
How much would you be willing to pay for a new device that could control and eventually stop stress incontinence if made available in the stores

.. *please specify: £ € $

 

 

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..

 

 

 

 
 
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