Quantum Rehab Roundtable - NY Abilities Expo

Quantum Rehab is hosting a consumer roundtable for power wheelchair complex rehab technology users on May 3rd at 1pm at the NY Abilities Expo! The roundtable will take place for 1 hour and has space for up to 10 participants. Those who are chosen to participate will receive a $25 gift card for their time and input!

If you use power wheelchair complex rehab technology (think Quantum Edge 3, Invacare TDX, Permobil M3, Quickie Q700, etc) and you're interested in participating in this roundtable to share your ideas and experiences!

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Email *
What is your first and last name?
What is your email address?  *
Are you attending the NY/NJ Abilities Expo on May 3, 2025? *
The roundtable will be held in person at the NY Abilities Expo on May 3 2025 at 1pm. Participants must attend in person.

If selected, will you be able to attend in person?
 *
What is the make and model of your current power wheelchair? Ex. Quantum Edge 3, Permobil F3, etc.
 *
What power seating features are available on your power chair? Check all that apply.
 *
Required
What is your disability or diagnosis?
Where do you currently reside? (city and state) *
The round table will be held in person at the NY Abilities Expo on May 4, 2024 at 2pm.  The round table may be recorded for Research & Development and Marketing purposes. Please note that participants must consent to participating in the roundtable and consent to being recorded. If selected, do you consent to participating in the roundtable and consent to being recorded?
 *
Do you require any accommodations to be able to fully participate in the roundtable such as captioning, an American Sign Language Interpreter or other?
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If you selected “yes”, what accommodations will be required?
Is there any information that you’d like to volunteer such as religion, race, sexual orientation, or other information?
If you are selected to participate, we are offering gift cards as a thank you for participating. Each participant will receive a $25 gift card. A survey will be distributed after the conclusion of the roundtable. The survey must be completed for you to receive the gift card.
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Required
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