Yes, I take care of a wheelchair user! Please enable JavaScript in your browser to complete this form.Name *Relationship with the wheelchair user *Type of Disability *Wheelchair used *Does wheelchair need service and where you get it serviced?Ease to get the spare parts Selected Value: 0 0 means very hard to get and 5 means very easy to get the partsWheelchair Transportability Selected Value: 0 0 means not easy to transport and 5 means easy to transportChallenges you face with the wheelchair *As a caretaker i face these problemsFeatures you need in the wheelchair *What you would like to add in the wheelchairWhose opinion matters when purhasing wheelchair *Submit
