Take long string from your holder kit, fold it in half, then push it through the hole in the holder as shown in the illustration.
Place string around your neck like a necklace, while holding the string from falling out of the holder insert your catheter valve in the holder as shown in the illustration.
Now adjust catheter valve by pulling the strings through the hole in the holder up or down, catheter hose should hang approximately 3 inches lower than the exit site as shown in the illustration.
Once this is done tie off the string. You should be able to stretch your arms all the way up and not pull on the exit site. The hose should never pull on the exit site. If this happen re-adjust the string. Once adjusted cut excess string off. As shown on illustration.