power mobility scooters

Mobility Evaluation Survey

Just a few more questions that will help you through the process of getting a power wheelchair or scooter faster…

DO YOU OFTEN TIMES HAVE DIFFICULTY WALKING?
Yes    No
DO YOU HAVE HEALTH RELATED ISSUES THAT LIMIT YOUR MOBILITY? PLEASE CHECK ALL THAT APPLY.
High Blood Pressure
Diabetes
Copd
Heart Failure
Rheumatoid Arthritis
Multiple Sclerosis
Parkinson’s Disease
Arthritis
Degenerative Discs
Stroke
Paraplegic
Osteoporosis
DO YOU USE ANY OF THE FOLLOWING? PLEASE CHECK ALL THAT APPLY.
Cane
Walker
Manual wheelchair
Power wheelchair or scooter
DO YOU HAVE TROUBLE DOING ANY OF THE FOLLOWING ACTIVITIES IN YOUR HOME: COOKING, BATHING, CLEANING, DRESSING, GROOMING, OR TOILETING?
Yes     No
HAVE YOU HAD A MOBILITY EVALUATION BY YOUR DOCTOR WITHIN THE PAST 45 DAYS, OR DO YOU CURRENTLY HAVE A DOCTOR WILLING TO PERFORM A MOBILITY EVALUATION?
Yes     No
Confirm Email Address
Aeroflow protects your privacy; your information will never be sold or shared.
By clicking Submit you are allowing Aeroflow Healthcare to contact you.

What our patients are saying…
“Aeroflow was wonderful when it came to helping us with our wheelchairs and lift-even showed us how to use the lift. We were very thankful for the friendly and knowledgeable service.”
WHAT OUR PATIENTS ARE SAYING...
“I was looking for a power wheelchair for my wife. Aeroflow had a great selection and they were very kind and helpful on the phone. Great people to do business with!”
WHAT OUR PATIENTS ARE SAYING...
“I recently bought a Go-GoPower Scooter from Aeroflow and couldn't be happier with its mobility and compact design.The chair is amazing and goes anywhere I want.It was a great experience!”
WHAT OUR PATIENTS ARE SAYING...
“My doc referred me to Aeroflow when I needed a sleep test, and I went back when I needed a wheelchair.The service was exceptional! Aeroflow really cares about their customers.”