Wheel:Life – Getting to Know You - Coloplast US
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      Wheel:Life – Getting to Know You

      Wheel:Life is about you. Would you like to share your story?

      If yes, please provide your name email and phone above so we can contact you.
      Do you or someone in your household use a wheelchair or mobility device?

      Are you involved in any support groups or community organizations?


      What is your diagnosis that requires mobility, catheter or ostomy products?






      Do you or does someone in your household use intermittent catheters?

      Does your health insurance cover the cost of your catheters?



      Do you use ostomy products?
      Yes



      What type of content would you like to see on Wheel:Life (check all that apply)




      What is your age?










      From time to time, we may have special offers or promotions from our sponsors that may be relevant to you or a loved one. Are you interested in receiving this type of content?

      Are you a clinician that works with individuals with a spinal cord injury?


       

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