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Please answer the questions below

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  1. For whom are you buying a product?

  2. Please select your gender

  3. How would you describe your leakage?

  4. How would you describe your leakage?

  5. Product choice

    Please select the most suitable alternative.

  6. Please select the gender for the individual requiring the product

  7. Which level of bladder weakness / incontinence does the individual experience?

  8. Which level of bladder weakness / incontinence does the individual experience?

  9. I am looking for a product for an individual who

  10. I am looking for a product for an individual who

  11. Please select the gender for the individual requiring the product

  12. Which level of bladder weakness / incontinence does the individual experience?

  13. Which level of bladder weakness / incontinence does the individual experience?

  14. Please select the gender for the individual requiring the product

  15. Which level of bladder weakness / incontinence does the individual experience?

  16. Which level of bladder weakness / incontinence does the individual experience?

  17. Please select the gender for the individual requiring the product

  18. Which level of bladder weakness / incontinence does the individual experience?

  19. Which level of bladder weakness / incontinence does the individual experience?