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Wheelchair Damage Survey
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1.
So that we can let members of Congress know how many individuals in their state/district are having issues with damage to their wheelchairs, please provide the following information.
(Required.)
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address
Phone Number
2.
What type of wheelchair do you use?
Manual
Power
3.
Have you ever chosen not to fly for fear that your wheelchair may be damaged or broken?
Yes
No
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4.
Have you flown domestically in the continental United States within the past 5 years when there was damage caused by the airline to your chair?
(Required.)
Yes
No
Current Progress,
0 of 18 answered