Innovation - Coloplast UK

Thank you for your interest in taking part in a product trial for a new female intermittent catheter. If you are eligable for the trial, one of our research team will be in touch with you via phone or email to discuss next steps.

Please tell us your age
How long have you been doing intermittent self catheterisation?
Which brand of catheter are you currently using?	BBraun Actreen Lite Mini Curan Lady Hydrosil Discreet Lofric Sense SpeediCath Compact
If none of the above, please state which brand
Have you used an alternative product in the past?	Yes No
Which one did you use?	BBraun Actreen Lite Mini Curan Lady Hydrosil Discreet Lofric Sense SpeediCath Compact
If none of the above, please state which one
Would you be happy to be involved in a clinical trial?	Yes No
If yes, please complete your contact details:
First Name*	Last Name*
Address 1	Address 2
City/Town	Email*
Phone	contactUsBysendUsEmail

Headline

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Thank you