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Scooter Review Form
IF WOULD LIKE ASSISTANCE WITH THIS PROCESS SIMPLY
GET IN TOUCH
Scooter Review
Product Information:
Scooter Name:
*
Scooter Description:
*
Battery Life:
*
Where Did You Buy This Scooter?
*
Personal Opinion:
*
Please Rate The Following Features:
How Comfortable Is This Scooter To Use?
*
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
(Consider how long you can sit in it!)
How Easy Is This Scooter To Take Apart?
*
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
(Consider if you can fold it or take it apart!)
How Easy Is This Scooter To Transport?
*
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
(Consider how easy it is to get in and out of a vehicle!)
How Does This Scooter Cope Off-Road?
*
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
(Consider if it can go on grass or a bumpy pathway!)
Overall Rating:
*
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
Photo & Video Upload:
1
- Either Upload Multiple Images/Videos Using Link Below
2
- Upload
Images/Videos
Onto
Drop Box
3
- Send
Images/Videos
To The Following Email
contact@accessyourlife.co.uk
Image Upload:
Click To Upload
Choose File
Maximum upload size: 2.1MB
Personal Information:
Name:
*
Email:
*
Phone:
Diagnosis:
Please Select The Fields You Are Happy For Us To Publish With Your Review:
*
First Name
Last Name
Condition/Disability
Remain Anonymous
Staying Connected:
I Would Like To Receive Regular Updates, Offers & Information Bursts
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I Have Read & Understood Access Your Life's
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