Wheelchair Review Form

Product Information:

Wheelchair Name: *

Wheelchair Description: *

How Long Does The Battery Last?

(Powered Wheelchairs Only)

Where Did You Buy This Wheelchair? *

Personal Opinion: *

Please Rate The Following Features:

How Comfortable Is This Wheelchair To Use? *

(Consider If It Causes Any Discomfort)

How Easy Is This Wheelchair To Take Apart? *

(Consider If It Can Be Folded Or Taken Apart)

How Easy Is This Wheelchair To Transport? *

(Consider How Long It Takes To Get In Or Out Of A Vehicle)

How Does This Wheelchair Cope Off-Road? *

(Consider If It Can Go On Grass Or Bumpy Pathways)

Overall Rating: *

Photo Upload:

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2 - Upload Onto Dropbox

3 - Send To The Following Email

[email protected]

Wheelchair Images:

Maximum file size: 2.1MB

Personal Information:

Name: *

Email: *

Condition / Disability:

Information We Can We Publish With Your Review: *

First Name

Last Name

Condition/Disability

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Product Information:

Please Rate The Following Features:

Photo Upload:

1 - Upload Using The Links Below

2 - Upload Onto Dropbox

3 - Send To The Following Email

[email protected]

Personal Information:

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