What is the problem in dressing up (you can select more than 1) *
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Which parts are most affected (you can select more than 1) *
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Do you need help in dressing up?
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What are your challenges while dressing up?(eg. cannot raise the hands to get into sleeves of the clothes). Write all your challenges
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Where do you buy your clothes usually
Where do you usually buy your innerwears
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Do you currently have any specific features in your clothes to make it easier for you to dress up?
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If yes, please describe
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Would you like us to know some other specific clothing need of yours, please do leave a line
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Would you be interested in being a part of our special user group for testing our products? ( we will connect with you to understand you needs better, design accordingly and gift you a new piece for your feedback) *