URINAL RECEPTICAL SURVEY QUESTIONNAIRE:

• Helen J Stewart-Brooks
• Patent Pending

Summary

Female Urine Receptacle is an improved bathroom tool designed to offer a clean, portable place for women to go to the bathroom while away from home. The receptacle can be equipped with a liner and features exterior walls that can be held to urinate from a standing position.

URINAL RECEPTICAL SURVEY QUESTIONNAIRE:

If medically or physically, incapacitated, which item above would you use?

If in a hospital bed and hooked up to an I-V tube, which item above would you use?

If stuck in a traffic jam due to a shooting, or car accident with no where to relieve yourself discretely, which of the above devices would you prefer to use?

Which one of the above would you consider to be spill proof with the aid of a plastic zip bag liner?

Which of the above would you feel comfortable holding between your legs, standing up, rather than squatting to use?

Which of the above would give you the most confidence in using if you had a quick case of diarrhea coming on?

Which one of the above would be better for even males to use? 1 2 3 4 Now if You are a male filling out this survey, which of the above would you use?

Which one of the above could or should be used as an emergency apparatus to be carried in trucks, campers, cars, even airplanes?

Which of the above would allow you to actually hold its contents upside down and not spill with the use of a zip lock bag?

Which of the above could possibly hold 3 normal urine episodes?

Which device above would you recommend especially for seniors on the go?

For even more stability, which of the above would insure steadiness with the aid of a hands free portable stand?

Do you feel that a person with incontinence issues could benefit from the F.U.R.P 360TM device when traveling in general?

Would you buy one if it was in a Wal-Mart, SAM’S CLUB, or a CVS STORE, BED BATH & BEYOND at a reasonable price?

Lastly, would a F.U.R.P. 360TM Privacy CapeTM be beneficial having to use with one of the above devices in a less than private location, say in a stalled traffic jam?

Would the F.U.R.P. 360 TM POSSIBLY be a shoe-in on SHARK TANK?

ANY COMMENTS REGARDING THE F.U.R.P. 360TM:

THIS ENDS OUR SURVEY, THANK YOU FOR YOUR INPUT!