Wufoo

Name of wheelchair model
Disability
Age
How long have you had the chair for?
Good points on the wheelchair

(e.g. ride comfort, reliability, seat functions (recline, tilt etc), manoeuvrability, battery life, the design, value for money)
Bad points on the wheelchair

(e.g. ride comfort, reliability, seat functions (recline, tilt etc), manoeuvrability, battery life, the design, value for money)
Comments on the manufacturer or dealer who sold you the chair

(e.g. helpfulness of salespeople, quality of assistance provided)
Quality of technical support

(e.g. how long does it take for an engineer to come out and fix the chair? are problems with the wheelchair resolved to your satisfaction?
Any other comments, thoughts or views

Please provide as much detail as possible
Overall score (1 – lowest, 10 – highest)
Type the two words from the image below. *
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