1. Are you purchasing something for yourself or someone else?
2. Are you purchasing this product as a gift?
3. What are you purchasing?
Insulin Pump Belt
All Ages Bib
4. How old is the person using this product?
Baby (0-2 years)
Child (3-12 years)
Adult (65 or older)
5. What gender is the person using the product?
Prefer not to say
6. How did you find out about us?
Social Media post (Facebook, Instagram, Twitter, Pinterest)
Someone told me about Abilitee
Brochure in a doctor's office
From my healthcare provider
7. Do you want to tell us anything else?
8. Can we contact you to follow up on any of your answers?
If yes, what is your email?
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