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Are you buying products for...

Yourself
Someone Else

Step 2

Are you...

Is the person that you are buying products for...

Male
Female
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Step 3

Approximately how much urine do you leak?

Approximately how much urine does the person that you are buying for leak?

NoneI am faecally incontinent
SlightI only dribble a little urine every now and again
ModerateI lose a small amount of urine at a time
SevereI lose a fair amount of urine at a time
Severe / Very SevereI lose the majority of my bladder at a time
Very SevereI lose a full bladder of urine gradually throughout the day
Extremely severeI lose a full bladder of urine at once
NoneThe person I am buying for is faecally incontinent
SlightThe person I am buying for only dribbles a little urine every now and again
ModerateThe person I am buying for loses a small amount of urine at a time
SevereThe person I am buying for loses a fair amount of urine at a time
Severe / Very SevereThe person I am buying for loses the majority of it's bladder at a time
Very SevereThe person I am buying for only loses a full bladder of urine gradually throughout the day
Extremely SevereThe person I am buying for loses a full bladder of urine at once
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Step 4

Do you also have faecal incontinence?

Does the person that you are buying for also have faecal incontinence?

Yes
No
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Step 5

How mobile are you?

How mobile is the person that you are buying for?

Full MobilityI can move around independently
Restricted MobilityI need some help moving around and with some tasks
No mobilityI am bed or wheel chair bound
Full MobilityThe person that I am buying products for can move around independently
Restricted MobilityThe person that I am buying for needs help with some tasks but can move around on their own
No mobilityThe person I am buying for is bed or wheel chair bound
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Step 6

What size are you?

What size is the person that you are buying for? (Measure the waist and hips and use the largest measurement)

Extra small40-60cm / 16-24”
Small60-90cm / 24-35”
Medium90-120cm / 35-47”
Large120-150cm / 47-59”
Extra large150-175cm / 59-69”
Extra extra large140-180cm / 56-72”
Extra extra extra large160-200cm / 63-79”
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