MoliCare Customer Survey

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1. Tell us about the products you buy
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1. Do you currently buy incontinence products;

For yourself
For someone else

2. What type of products do you currently use, either MoliCare or another brand? (Please tick all that are applicable)

Shaped Pads
Men's Pouches
Fixation Pants
All-in-One Slip
Pull-up Pants
Skin Care
Disposable Gloves
Disinfection
Bed Protection
Other (please specify):

3. On average, how many pads are you using each day?

1
2
3
4
5
6
7
More than 7

4. Do you buy additional products to 'top up' your supply from the NHS?

Yes
No

5. If 'yes', where do you usually buy them?

Supermarket
High street pharmacy eg Boots, Superdrug
Local pharmacy
Online from a healthcare website
Online from another retailer website eg Amazon
Online by a subscription
Other (please specify):

6. How often do you buy additional 'top up' products?

Twice a month
Once a month
Once every two months
Once every three months
Less frequently
Just when I need them

7. Would you buy pads from your local pharmacy if they stocked the exact same pads you receive from the NHS?

Yes
No

8. Would you like further advice about your condition and recommended products?

Yes
No

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