Your Own Adaptive Clothing
Clothes that are adapted to you!
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Email *
Name : *
Mobile Number :
Current Age : *
Location *
What would you like to buy? *
Your size - Chest *
Your Size - Waist *
Your Size - Length
Preferred Colour
Preferred Fabrics (eg, cotton, rayon, silk, polyester, etc):
Nature of Physical Problems (select as many as applicable) :
Other Challenges (please specify) :
Body parts affected (select as many as applicable) :
Others (please give details) :
Do you use a wheelchair ? *
Do you use crutches ? *
Do you wear/use any other assistive device ? *
If yes, please give details
If yes, or sometimes, please mention the type of device
On a daily basis, how would you rate your degree of independence/dependence when you are dressing? *
Which position are you most comfortable while wearing clothes? *
Will you be willing to take measurements and give, if needed? *
Would you be interested in experimental designs? *
What is your average budget for clothing? *
Where do you usually shop from? *
Do you currently have a preferred brand? *
If yes, please give details
Do you have any additional comments on size, fit, style and design for your clothing?
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