Could the Freedom+ Boise Better Bladder Program™ Transform Your Life? Find Out Now!

Are you Male or Female? *

Male

Female

What is your age group? *

Under 50

50-59

60-69

Over 70

Do you leak when you laugh, sneeze, or cough? *

Yes

No

Do you suddenly and frequently have the urge to pee? *

Yes

No

Does your life revolve around figuring out where the next bathroom is? *

Yes

No

Do you wake up multiple times a night to go pee? *

Yes

No

Do you leak when you walk, hike or exercise? *

Yes

No

Have you had an enlarged prostate, prostate cancer or prostate removal? *

Prostatectomy

Prostate Cancer

Prostate Removal

Enlarged Prostate

None of the Above

Do you suffer from erectile dysfunction? *

Yes

No

Are you stuck wearing pads and disposable underwear? *

Yes

No

What age group are you in? *

Under 50

50-59

60-69

Over 70

Do you leak when you laugh, cough or sneeze? *

Yes

No

Did you give birth to one or more children vaginally? *

Yes

No

Do you find yourself having to pee urgently and often? *

Yes

No

Is finding the next bathroom constantly on your mind? *

Yes

No

Have you reached menopause? *

Beyond menopause

I'm in full menopause

I'm in perimenopause

Not yet

Do you wake up multiple times to use the bathroom at night? *

Yes

No

Do you pack a few extra pads with you, wherever you go, "just in case"? *

Yes

No

Is a leaky bladder getting in the way of your sex life or exercise? *

Sex life

Exercise

Nope

Please fill out the information below so we can send you your results.

*Make sure to check your "junk" or "promotions" folders if you don't see an email from Dr. Kimberly Thompson at Meridian Family Acupuncture with your results.

First Name *

Last Name *

Phone *

Email *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (208) 965-3777 for assistance. You can reply STOP to unsubscribe at any time.

NEXT

Social Links

Facebook

Instagram

Youtube

Contact Us

Copyright © 2024 Meridian Family Acupuncture, All rights reserved.

Terms and Conditions