This will allow Pants Up Easy Staff to evaluate your ability to use our product and determine the realized benefits with our users. We also use shoulder height measurement to determine optimal product configurations.
What type of participant are you?
Mobile or Contact Number
What are the realized benefits you see from using Pants Up Easy?
Where would you use your Pants Up Easy System?
What is your height?
Choose your weight
Do you have use of your arms and hands?
How is your upper body strength?
What type of Disability do you have? (Please check all that apply)
Mobility tools used? ( Please check all that apply)
Employment Status (Please check all that apply)
Are you a Veteran?
Type of Insurance? (Please check all that apply)
What methods are best for you to acquire your Pants Up Easy System?
(Check all that apply)
You can upload pictures of your installation location for the Toilet Model, Height of toilet tank, height of shoulder sitting up as straight as possible on the toilet, and or wheelchair?