Sign Up - Design of Upper Limb Hand Prosthesis

First and Last Name *

How did you hear about this study? *

BLESMA

Finding Your Feet

LimbPower

Reach

A friend

Other:

Your age range *

*If you are below 18 years old and would like to participate I may need to organise additional arrangements

15 - 17 years*

18 - 23 years

24 - 30 years

31 - 40 years

41 - 50 years

51 - 60 years

60 - 70 years

70+ years

Required

Explain briefly why you would like to take part.

This is not complusory