BetterCaths Catheter User Survey

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Thank you for participating. We will not share your personally identifiable information with third parties.

Your honest feedback is very important as we educate legislators, Medicaid and Medicare about this critical health education issue. We believe you deserve better when you self-cath.

This survey is for US residents only.

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* 1. We'll send you the results of this survey! What is your email address?

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* 2. What is your name?

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* 3. What type of catheter do you use?

Intermittent catheter

Indwelling/ Foley / suprapubic catheter

I do not use a catheter

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Proposition 65 Warning Label

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* 4. Were you educated by a healthcare professional or a medical supply provider about Prop 65 carcinogen warning labels on some intermittent or indwelling catheters before being asked which ones you would like to use?

Yes, I was told.

No, I was not told.

I don't know but would like to know.

I don't know and don't care.

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* 5. Have you ever used a catheter that has a Proposition 65 warning label?

Yes

I don't know

I do not use a catheter

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* 6. Do you currently use a catheter that has a Proposition 65 warning label?

Yes

I don't know

I do not use a catheter

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* 7. What catheter brands have you used? Select all that apply.

RUSCH

Hollister Incorporated

LoFric/Wellspect

Coloplast

GentleCath

Bard

MTG

Medline

Cure Medical

Rochester Medical

None of the above

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* 8. What types of catheters have you used? (Select all that apply.)

Intermittent Catheter - Straight Tip (needs lube before use)

External Catheter (wearable/for men only)

Intermittent Catheter - Straight Tip (pre-lubricated)

I do not use catheters.

Intermittent Catheter - Coude Tip (needs lube before use)

Compact Catheter (pre-lubricated)

Hydrophilic Catheter (packaged with water)

Intermittent Catheter - Closed System

Intermittent Catheter - Coude Tip (pre-lubricated)

Indwelling/Suprapubic/Foley catheter (use 24/7)

Other (please specify)

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* 9. How many years have you used a catheter?

1-3 years

4-10 years

11-20 years

20 years or more

I do not use catheters

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* 10. Have you ever been diagnosed with bladder cancer?

Yes

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* 11. Do you know another catheter user who has been diagnosed with bladder cancer?

Yes

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* 12. What state do you reside in?

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* 13. Who is your urologist?

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* 14. What medical supply company currently sends your catheters to you?

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* 15. Is there anything else you would like to share with us?

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* 16. Would you like to stay informed with email updates from BetterCaths?

Yes

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* 17. If necessary, may the BetterCaths team contact you to learn more about your answers to this survey?

Yes