Steadiwear's Caregiver Awareness Giveaway Campaign
As part of Steadiwear's Parkinson's Awareness Giveaway Campaign, we have set up a few questions that each applicant will need to go through to see if the qualify. We will be donating 4 devices to those in need.

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电子邮件地址 *
What type of tremor do you have? *
Where are you tremors sourcing from *
Do your tremors look like this?
Do you have a pacemaker or have you undergone Deep Brain Stimulation? *
Are you a veteran? *
Are you disabled? *
Are you employed? *
What is your household income? *
What is your email? *
What is your name? *
What your phone number? *
How did you hear about us? *
Any additional questions or concerns?
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