It is extremely important for us to receive feedback on all of our products as it allows us to make potential improvements to this and potential future product designs. We would be grateful if you are able to complete this feedback form once you have tried Confidence BE® Urostomy.

This feedback is anonymous, so we are not collecting any personal data in conjunction with the form.

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* 1. How long have you had your stoma for?

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* 2. Product code of product used: (starting starting XBU or BU)

Wafer Adhesive 

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* 3. How did you find the Flexifit® wafer in relation to flexibility and fit with your body?

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* 4. How did you find the adhesion and security of the Flexifit® wafer adhesive over wear time?

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* 5. How did you find the comfort of the Flexifit® wafer adhesive over wear time?

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* 6. How did you find the Flexifit® wafer in relation to ease of application and removal?

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* 7. Did you experience any lifting or rolling of the adhesive around the edges?

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* 8. Please add any additional comments regarding the wafer adhesive

Fabric Cover 

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* 9. How comfortable did you find the fabric cover whilst using this product?

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* 10. How durable did you find the fabric cover whilst using this product?

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* 11. Do you change your bag straight after bathing or showering? If NO please go onto Q13

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* 12. How quickly did the fabric cover take to dry after bathing/swimming whilst using this product?

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* 13. Did you experience any rustling/noise from the fabric cover whilst using this product?

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* 14. How suitable did you find the colour of the fabric?

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* 15. Please add any additional comments regarding the fabric cover

Bag

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* 16. Did you find the product had enough capacity for your needs?

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* 17. How did you find the discretion of the product in relation to profile shape and bulkiness?

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* 18. Please add any additional comments regarding the bag

Soft outlet and bung

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* 19. How easy did you find the bung to open and close?

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* 20. How easy did you find the soft outlet tuck-away option to use?

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* 21. How easy did you find the flow control function when draining the product?

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* 22. I was able to move the rotating and detachable bung lanyard away from urine flow when draining:

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* 23. How secure did you find the soft outlet when the bung was in a closed position?

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* 24. Did you experience any leaks directly from the soft outlet and bung during wear time?

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* 25. How comfortable was the soft outlet and bung during wear time?

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* 26. Please add any additional comments regarding the soft outlet and bung

Confidence BE® Night Drainage Bag

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* 27. Did you use the Confidence BE® Night Drainage Bag in conjunction with the Confidence BE® Urostomy bag? IF NO PLEASE CONTINUE TO Q35

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* 28. How comfortable did you find the tubing of the Night Drainage Bag during use?

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* 29. Did you experience any kinking and/ or blocking of the night drainage bag tubing during use?

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* 30. How easy did you find connection of the Night Drainage Bag to the Urostomy bag?

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* 31. How easy did you find the Night Drainage Bag to empty after use?

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* 32. Did you use the Night Drainage Bag box which converts into a discreet night drainage stand? IF NO PLEASE CONTINUE TO Q35

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* 33. How easy did you find the night drainage stand to convert and to use?

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* 34. Please add any additional comments regarding Confidence BE® Night Drainage Bag

Blue-guided touchpoints 

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* 35. How easy-to-use were the blue-guided touchpoints on the Confidence BE® Urostomy bag and Night Drainage Bag?

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* 36. Please add any additional comments regarding the blue-guided touchpoints

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* 37. How likely is it that you would recommend Confidence BE® urostomy bag to a friend or colleague?

Not at all likely
Extremely likely

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* 38. How likely is it that you would recommend Confidence BE® Night Drainage Bag to a friend or colleague?

Not at all likely
Extremely likely

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* 39. If you have any other comments to add please include here:

Thank you for taking the time to complete this survey. Your feedback is greatly appreciated.

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