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Your Contact Information

Enter the email address used when purchasing the Freedom Chair.

Use Information

Where did you ride your Freedom Chair?*
There are no wrong answers. Your answers will not affect your return. Select all the applicable locations below.
How much time did you spend in the Freedom Chair?*
Why are you choosing to return the Freedom Chair?*
Please select all that apply.
Do you use any other mobility aids?*
Please select all that apply.
Which best describes your diagnosis or disability?*
Please select all that apply.
How likely are you to recommend the Freedom Chair to a friend?*

Return Kit: Shipping Information

To what address should we ship the return kit?