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

• Using without your wheelchair 1
• Using with your wheelchair 2

Your condition:

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

• Flaccid paralysis 3
• Spastic paralysis 3

WHERE EXACTLY DO YOU PLAN TO USE THE PRODUCT?

• Indoors 3
• Indoors and outdoors 2
• Outdoors 2