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Exit Survey
 
 
age
 
18 - 25
 
25 - 35
 
35 - 45
 
More than 45
 
 
 
Sex
 
Female
 
Male
 
 
 
Occupation and education level
   
 
 
 
Are you a wheelchair? Or do you accompany a wheelchair?
 
Yes
 
No
 
Other
 
 
 
 
Why would you use a table like that? (Mark as many as you like)
 
Meals
 
Studies / Reading / Drawing
 
Job
 
Other
 

 
 
 
Have you ever encountered problems with tables not adapted for wheelchair users? On what occasions?
 
No
 
Other
 
 
 
Among the factors listed below, mark only those that you consider ESSENTIAL (leave those you consider unnecessary blank).
 
The table should have easy installation / uninstallation by the user
 
The table should be light
 
The table should be easy to clean
 
The table should have height adjustment
 
The table should have distance adjustment to the body
 
Table must have coasters
 
The table should be aesthetically beautiful
 
Other
 

 
 
 
Do you need or need assistance in attaching the table / tray to the wheelchair? What do you think you could improve on a wheelchair attachable table or tray?
   
 
 
 
Comments/Suggestions about the subject: