CPW Survey
Thank you very much for taking the time to help us out, it is greatly appreciated!
Email address *
Are you a: *
Does your residual limb ever get cold? *
If a portable battery powered heating device that can be used both on the prosthetic and your residual limb would you: *
Required
Warmer on socket and battery pack in back pocket.
Warmer on residual limb.
Thank you!
Thank you for all your help! If you would like to help more please share this link with anyone who you think a prosthetic warmer can help.

https://tinyurl.com/y94qw35c

Thank you again, the CPW team.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service