Tell Us About Yourself
Are you not sure if this stroke rehab technology is right for you?

Please answer the following 7 questions. A rehabilitation specialist will give you a call to tell you if the Hand Mentor Home service is appropriate for you. Please feel free to call us at (844) 668-8766.
Email address *
Phone Number
Your answer
Has it been less than 12 weeks since your stroke? *
Do you have pain in upper extremity? *
Do you have voluntary movement in your shoulder? *
Do you have voluntary movement in your elbow? *
Do you have voluntary movement in your wrist or hand? *
Are you committed to doing more than 2 hours of rehab per week? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Motus Nova LLC.