This sheet is provided for your convenience in helping you select
the correct ramp for your needs. If you have any questions or
need assistance completing this worksheet please call one of our
representatives at 1-800-831-8580 and they will be glad to
assist you.
What is the PRIMARY use for this ramp: (Home/Vehicle/Other)
_______________________________________
Will the ramp be moved often or left down in one location?
__________________________________
Is the ramp going to be used with a scooter or with a
wheelchair?________________________________________
How much ground clearance do you have? (Measure distance
from the battery pack or foot rests to the floor) ___________
What is the weight of the chair with and
without the occupant? _________________________________________
FOR USE WITH STAIRS:
If you are planning on using the ramp for stairs, are they
uniform steps (1) or staggered (2)? (See picture)
What is
the height _____________ and depth of each step?
_______________________________________
Are there any landings (similar to picture 2)? What is
the depth? __________________
How much room do you have after the last (bottom) step? (ie;
length of walkway) _______________________
FOR VAN/AUTO USE:
For van use, will you be loading through the side or back of the
vehicle? _____________________
What is the distance from the floor of the van/trunk of the
car to the ground? ______________________
Will the occupant be riding the wheelchair into the vehicle?
_______________________
What is the width of the door opening?
_________________________
How much room do you have to store the ramp in the vehicle?
_____________________
