Email
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Weight
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Under 10 Stone
11-16 Stone
17-25 Stone
25+ Stone
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Height
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Under 5ft
5ft 1in - 5ft 6in
5ft 7in - 5ft 11in
Over 6ft
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Existing Health Conditions
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Arthritis
Mobility
Joint Pain
Back Pain
Other
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Main Reason for Interest
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Help with Aches and Pains
Comfort
Safety
Increase Mobility
What size Bed/Mattress are you Interested in
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3ft
4ft
4ft 6in
6ft
Do you have an adjustable bed?
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Yes
No
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