Wheelchair Stability App

Wheelchair Stability App

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ALL FIELDS ARE MANTADORY

Cliend ID

Wheelbase (mm)

Front Track Width (mm)

Rear Track Width (mm)

Height of Scales (mm)

Note: (Optional)

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ALL FIELDS ARE MANTADORY

Front Wheel Up

Left(KG)

Right(KG)

Front Wheel Down

Left(KG)

Right(KG)

Base Level Front

Left(KG)

Right(KG)

Base Level Rear

Left(KG)

Right(KG)

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Up Hill

Down Hill

Sideways Left

Sideways Right

Note

Not Available