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Please complete our short on-line questionnaire, we would appreciate your thoughts and feedback.
First Name *
Date of Birth (DD/MM/YYYY)
Do you get your appliances from Chemist Delivery Service
If you use a Delivery Service please state which
Which applies to you? Stoma Colostomy Ileostomy Urostomy Wound Care Spinal Cord Injury Continence
Please list which newspapers, medical magazines and publications you read:
How did you hear about Fittleworth? Healthcare Professional Advert Mailer Website Friend or Colleague Other
Would you recommend our service? Yes No Maybe
Finally, what can we do to improve the value of our website?
Please tick if you would like to be kept up-to-date with information from Fittleworth Yes No
It is FREE to contact Fittleworth and we would be delighted to hear from you on any matter relating to our service.
If you have a question or require more information, please complete our enquiry form.
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