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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To submit your request, please provide the required consent.

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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?

light (small leakage of urine) moderate (leakage happens often and in significant amounts) heavy (leakages are frequent and abundant) severe (complete lack of control of passing urine)

Is the requested product for a man or a woman?

man woman prefer not to say

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

mobile/walking or being active without need of assistance in need of some assistance or using a mobility aid (cane, walker, etc.) immobile/bedridden

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:

small medium large x-large xx-large

Briefs:

small medium regular large x-large

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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.