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.

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* 2. Were you offered a choice of dispenser?

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

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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?

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

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* 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?

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