Free Sample Request

Interested in trying Seni products? Our goal is for you to find the right product for your needs. Please complete the following survey for a customized recommendation.

Upon completion of the survey and choice of product, a free sample will be sent discreetly to your address.

Note: Limit of 2 samples per Person per a 6 month period

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Please Complete All Fields:

*Indicates required field

Please Answer the Following Questions:

How would you describe you or your loved one’s incontinence level?


Is the requested product for a man or a woman?


What is you or your loved one’s level of mobility?


Based on the provided charts, please provide your sizing for each product type:

*Note: Size XXL is only offered for Seni Active Super Plus Absorbent Underwear, Size X-Small is only offered for Seni Super Briefs

Underwear:

Briefs:

Based on your survey answers, we recommend the following products:

Note: Limit of 2 choices. If you choose only 1 option, you will receive 2 samples of the chosen product.


Thank you for your submission!

A confirmation email will be sent to the address provided.