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1. Full Name (Required.)

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3. Did you choose a pad thickness which would best serve your needs? (Required.)

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4. Were you careful to cut a half inch opening in the first third of the pad of your choice, along the center axis? (Required.)

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5. Were you always careful to part both labia, to insure proper C-Nub placement? (Required.)

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6. Did you notice any difference between the Green or Pink and the Orange or mostly Blue C-Nub? (Required.)

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7. Which C-Nub did you prefer? (Required.)

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8. Did I change pads and insert a fresh C-Nub, at least once daily, if flow was moderate to heavy? (Required.)

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9. Did I always wear a thong, or tight under garment after positioning the C-Nub? (Required.)

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10. Did I wear UrgeBlocker for at least seven consecutive days? (Required.)

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11. Was any control gained over the urge to urinate? (Required.)

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12. Did control improve with consecutive days of wear? (Required.)

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13. This innovation has value for me. (Required.)

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