WOULD YOU LIKE TO USE THE PRODUCT IN COMBINATION WITH YOUR OWN WHEELCHAIR?

• Using without your wheelchair 1
• Using with your wheelchair 3

Your condition:

IN THE CASE OF A SPINAL CORD INJURY: WHICH TYPE OF PARALYSIS DO YOU HAVE?

• Flaccid paralysis 4
• Spastic paralysis 4

WHERE EXACTLY DO YOU PLAN TO USE THE PRODUCT?

• Indoors 4
• Indoors and outdoors 3
• Outdoors 3