• More details
  • Your surgery
  • Body check
  • Thank you

More details

Dear

We would like to know a little more about you, your life and your ostomy in order to offer you personalised advice.

What is your gender?

What is your date of birth?

Do you have a mobile phone?

What is your address?

Your daily life

Are you currently employed?
Do you live with a partner?
Do you participate in sports or fitness?
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Coloplast UK Ltd. - Nene Hall, Peterborough Business Park, Peterborough PE2 6FX - T:0800 783 1434 - E:gbccare@coloplast.com
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