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

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

Your condition:

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

• Flaccid paralysis 1
• Spastic paralysis 1

WHERE EXACTLY DO YOU PLAN TO USE THE PRODUCT?

• Indoors 2
• Indoors and outdoors 1
• Outdoors 1