Evaluating Dispensing Practice within Stoma Care

Thank you for taking the time to complete this survey. Your answers will help us to understand the practices of different dispensers. Your responses are anonymous and will not affect the service you receive from NAMS.

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* 1. Who is your dispenser? Your dispenser is the company that NAMS sends your prescription for stoma items to. They are responsible for getting your stoma items to you.

Local pharmacy

Alphamed/ Amcare/ BCA Direct/ Trent Direct/Homestyle Positive

B.Braun/Emerald

Charles Bullen

Charter

Fittleworth

Oakmed - Gold Care

Respond

Salts Medilink

Securicare

Other (please specify)

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* 2. Were you offered a choice of dispenser?

Yes

Additional comment(s)

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* 3. Have you ever received samples of products that you haven’t requested from your dispenser?

Yes

Additional comment(s)

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* 4. Have you ever received any communication (call/mail/email) from a stoma product manufacturer or different dispenser offering you samples that you haven’t requested?

Yes

Additional comment(s) - Please include the name of the company if known

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* 5. Have you had your stoma products changed without being consulted?

Yes

Additional comment(s)

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* 6. Have you ever had any products added to your prescription that you felt weren’t needed?

Yes

Additional comment(s)

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* 7. Were you actively involved in choosing the stoma care products that you use?

Yes

Additional comment(s)

Evaluating Dispensing Practice within Stoma Care

Question Title

* 1. Who is your dispenser? Your dispenser is the company that NAMS sends your prescription for stoma items to. They are responsible for getting your stoma items to you.

Question Title

* 2. Were you offered a choice of dispenser?

Question Title

* 3. Have you ever received samples of products that you haven’t requested from your dispenser?

Question Title

* 4. Have you ever received any communication (call/mail/email) from a stoma product manufacturer or different dispenser offering you samples that you haven’t requested?

Question Title

* 5. Have you had your stoma products changed without being consulted?

Question Title

* 6. Have you ever had any products added to your prescription that you felt weren’t needed?

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* 7. Were you actively involved in choosing the stoma care products that you use?

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* 8. Please place the attributes below in order of importance (1 is most important)

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* 9. Is there anything else you would like to tell us on this topic?