Stomawise Ostomy Awards 2015
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1. Your Details.
Are you Male or Female *
Stoma Type *
Length of time with a stoma *
Your email address (if you wish to be entered for prize draw of an MP3 Player).
2. Ostomy Pouches
Which ostomy pouch do you consider to have improved your quality of life *
If you selected "None Of The Above" which pouch has improved your quality of life.
3. Delivery Company (DAC)
Which delivery company have you had the best service from. *
If you selected "None Of The Above" Where do you get your supplies?
4. Support Garments.
Who's products do you find most effective. *
Do you know the difference between “Ostomy Underwear” and “Support Underwear”? *
If you have selected "I would like to know more" please ensure you have entered your email address above.
Required
If you selected "None of the Above" what product do you use to support your Ostomy Pouch / Hernia?
Please give as much detail as possible including website address.
5. Most Innovative Product you have found this year
What new product has intrested you *
If you selected "None of the Above" what products have you found and think we should be aware of ?
Please give as much detail as possible including website address.
6. Most Helpful Medical Representative.
If you have received outstanding service from a Consultant, Stoma Nurse or Ostomy Company Representative during the last year, Show your gratitude and nominate them for an Award.
Name
Hospital/Company
7. My Favourite Ostomy Product
What out of all the Ostomy Products available do you like best *
Please name both the Product and Manufacture
Submit
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