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BetterCaths Catheter User Survey

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.
1.We'll send you the results of this survey! What is your email address?(Required.)
2.What is your name?(Required.)
3.What type of catheter do you use?(Required.)
Proposition 65 Warning Label
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?(Required.)
5.Have you ever used a catheter that has a Proposition 65 warning label?(Required.)
6.Do you currently use a catheter that has a Proposition 65 warning label?(Required.)
7.What catheter brands have you used? Select all that apply.(Required.)
8.What types of catheters have you used? (Select all that apply.)(Required.)
9.How many years have you used a catheter?(Required.)
10.Have you ever been diagnosed with bladder cancer?(Required.)
11.Do you know another catheter user who has been diagnosed with bladder cancer?(Required.)
12.What state do you reside in?(Required.)
13.Who is your urologist?
14.What medical supply company currently sends your catheters to you?
15.Is there anything else you would like to share with us?
16.Would you like to stay informed with email updates from BetterCaths?(Required.)
17.If necessary, may the BetterCaths team contact you to learn more about your answers to this survey?(Required.)
Current Progress,
0 of 17 answered