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If you would like to take part in a product test of Dip UTI home testing kits, please enter your details and answer the questions below. 

This product test is open to Mumsnet users in London who currently suspect they have a UTI. 

Thanks and good luck! 

MNHQ

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* 1. Please enter your details below:

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* 2. If the address you'd like the kit to be delivered to is different to the above, please specify below:

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* 3. If you're selected and not available when a delivery is attempted, is there a safe place or a neighbour you'd recommend the kit being left with?

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* 4. How old are you?

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* 5. Are you female or male?

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* 6. Do you have an Android or iOS smartphone?

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* 7. Would you consider recording a video testimonial following testing the Dip UTI service?

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* 8. How do you feel about discussing UTIs? 

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* 9. Are you currently pregnant?

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* 10. Do you suffer from recurring UTIs?
Note: by recurring we mean more than 2 UTIs in 6 months, or 3 in one year

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* 11. Do you have diabetes? 

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* 12. Do you have a catheter?

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* 13. Why would you like to try out the Dip UTI service?

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* 14. If you are selected, we will need to send your details (name, address and mobile number, plus email address if this is needed for delivery) to Dip UTI so that they can dispatch the kit and contact you about the delivery if necessary. We will NOT pass on your Mumsnet username and you will not be contacted for any other reason. Please confirm if you'd like us to do this.

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* 15. If you are selected, we will use your contact details to communicate logistics of the product test and remind you to give your feedback. Please indicate below if this is something you'd like.

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