SillSave - quality vehicle accessories for wheelchair users

Please complete our online Survey

The aim of our survey is to discover the extent to which car doors/sills are damaged by wheelchairs when users transfer in or out of a car.

Part A should be completed by wheelchair users.
Part B should be completed by car owners.
If you are both a car owner and a wheelchair user, please complete both sections.

If you would prefer to print the survey and complete it by hand, please click here.

Name:

Contact details:

(Contact details will only be used to notify the winner of the prize draw. Please supply either a postal address, email address or telephone number.)

Part A - for wheelchair users. Please tick ALL answers that apply.

How do you transfer in and out of a car?
	I am able to stand and take a few steps.
	I use a slide board.
	I have a hoist/ mechanical aid to lift me.
	Other - please specify:


Do you damage the sill of the car when transferring in and out?
	No.
	Yes - scratches to the paintwork.
	Yes - dents to the sill.
	Yes - other - please specify:


Have you incurred any costs as a result of this damage?
	No.
	Yes - I paid for my own repairs.
	Yes - I had to pay an insurance/ Motability excess.

Do you travel
	in your own car?
	in the cars of friends and/or relatives?
	in taxis and/or minicabs?

Part B - for car owners. Please tick ALL answers that apply.

Do you have wheelchair users as passengers in your car?
	No.
	Yes.

Has your car ever been damaged by a wheelchair as the user transfers in or out?
	No.
	Yes - scratches to the paintwork.
	Yes - dents to the sill.
	Yes - other - please specify:


Have you incurred any costs as a result of this damage?
	No.
	I paid for my own repairs.
	I had to pay an insurance excess.

Thank you for completing our survey.

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