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Adaptive Clothing Survey
About You
1. Do you identify as a person with a disability?
Yes
No
Prefer not to say
I am a caregiver/family member
2. What type of disability do you have? (Select all that apply)
Mobility disability (wheelchair user)
Mobility disability (limited walking)
Limb difference / amputation
Cerebral palsy
Muscular dystrophy
Spinal cord injury
Osteogenesis Imperfecta
Arthritis
Chronic illness
Sensory disability
Other
3. What type of mobility or physical challenges affect how you dress? (Select all that apply)
Wheelchair user (full-time)
Wheelchair user (part-time)
Limited arm/hand mobility
Limited leg mobility
Limb difference / amputation
Chronic pain
Fine motor difficulty (buttons/zippers)
Other
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