May Quick Survey on Patient Safety Question Title * 1. What type of wheelchair do you use for everyday mobility? Manual chair Power chair Question Title * 2. Do you use the seatbelt in your wheelchair? All the time Most of the time Sometimes Never Question Title * 3. Do you feel that you know your capabilities and limitations in a wheelchair? Yes No Comment: Question Title * 4. Do you feel that you take appropriate safety measures to avoid injury when completing activities of daily living (ADLs)? All the time Most of the time Sometimes Never Question Title * 5. Do you feel that you have the necessary equipment to help you perform ADLs safely? Yes No I don’t need any equipment to assist me to perform ADLs safely Question Title * 6. Gender: Male Female Question Title * 7. What is your age? Under 25 26-35 36-45 46-55 56-65 66 or over Question Title * 8. Years post injury? <1 1-2 3-5 6-10 11-15 16-20 21-25 >25 Question Title * 9. Level of Injury: Paraplegia Tetraplegia Done