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Advice & Dialog > Information > Sample and test

Order mylife samples and test them for free

Please send me the following brochure:

Blood glucose meter brochure for mylife™ Pura™ Pen needle brochure for mylife™ Clickfine® Brochure: "Tips and tricks for injections"

Please send me free needle samples:

(Please calculate your personal BMI for right length of needle here).

mylife™ Clickfine® (for all prevalent insulin pens)

Sample package needle length 31G x 4,5 mm Sample package needle length 31G x 6 mm Sample package needle length 31G x 8 mm Sample package needle length 29G x 10 mm Sample package needle length 29G x 12 mm

My question / my suggestion to Ypsomed:

My address:

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Poll

Our aim is to update our products and services the best way possible. To help us reach these aims please answer the following questions.

Thank you for your effort, your Ypsomed-Team.

(Answering the questions is optional. Your personal data will be kept in confidence.)

Your treatment:

Oral diabetes therapy Insulin therapy 1-3 injections/day (CT) More than 4 injections/day (ICT) Insulin pump therapy (CSII)

In case of an insulin pump therapy (CSII), which pump do you use?

How often do you check your blood glucose?

Which injection needle do you currently use?

How long is you injection needle?

After how many injections do you change the needle?

Consent for advertising via post and telephone or e-mail contact

I would like to obtain more information about diabetes and your products. For these purposes I agree with the storage and data handling of my personal data by Ypsomed AG.

I agree to contact by telephone and e-mail by Ypsomed concerning diabetes and new product information. I can disagree with the use of my personal data without comment at any time. I have read and accept the data privacy of Ypsomed AG.

No, my data is to be processed and used only for the services requested by me. I have read and accept the data privacy of Ypsomed AG.

Mandatory field Security question* What is the sum of 8 and 7? What is the sum of 8 and 7?

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