Please select title.
First name is required.
We would like to ask you a few questions which we use for research purpose to help us learn more about our customers and improve our services. Please note that these questions are entirely optional and will not affect your eligibility to receive your free Mendor Discreet device.
Please tick here if you are happy to share your health information with us.
How many times per day do you measure your blood glucose?
What device do you currently use to measure your blood glucose?
There is a limited supply of meters available. You will be notified by email if your application is successful. We will endeavour to deliver your device as soon as possible. However please allow up to two weeks for delivery.