Application for Ezzy Access pants case study
This is a 1 month committment to using the Ezzy Access pants to catheterize. There are two goals of using the pants; first is to see how they impact your cathing routines. Secondly is to see if they will allow you to catheterize more easily in public restrooms. Tracking your experience will help us modify the pants or find the true efficacy of their uses with people that catheterize. You will be committed to filling out a pre and post survey located on Project Awakens website. The pre- survey will be filled out before you start using the pants and the post survey will be filled out after using the pants for 1 month. During the month there will be 3 phone calls/ text messages  with Project Awaken to check in on how the pants are working for you. Finally we will ask you to write a review of your experience with the pants.  If the pants are working out for you then you will be offered a discount on your first purchase.     (There are only 15 spots available)
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Name *
Email *
Address with City and State Zip Code. *
Phone number *
Best time to call/text to set up phone calls *
Required
Are you a woman that catheterizes? *
What is your Spinal cord injury level or disability *
Why are you interested in using the Ezzy Access pants? *
How often will you be able to try to use the Ezzy Access pants at a public toilet within a month? *
Would you be interested in having someone help you learn to catheterize in public restrooms using the Ezzy Access pants? *
What size pants do you prefer? They are very stretchy black yoga pant material.
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By entering your initials on the line below, you are effectively providing your signature, indicating that  you acknowledge that the Ezzy Access pants are patented and can not be legally duplicated without permission. You are also acknowledging your committment to fill out two surveys and be on 3 phone calls no more than 10 minutes each during the 1 month case study. *
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