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Previously Owned Mobility Aids

Have you owned a mobility aid before?


Daily Use

Check one or more of the following that best describes your most frequent use with the scooter


Access

Select how you access your home


Portability

Do need to be able to transport your scooter in a vehicle regularly?



Driver's Size

Select range that best describes the driver


Suspension

Do you require scooter with suspension



Additional Information

Let us know if you have any other preferences or concerns


Driver's Information

Let us kow who we are talking to





Affordable Independence

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