ONWARD SCI community feedback questionnaire

ONWARD SCI Community Feedback Questionnaire
At ONWARD, we are committed to developing therapies to improve lives of people with spinal cord injury. To do this, it is essential to understand the needs and priorities of people with spinal cord injury.

Thank you in advance for supporting us in the next step. In this questionnaire, we will ask you to prioritize possible therapies for our ARC-IM platform: ONWARD's implantable spinal cord stimulation device. Additionally, how the platform could support people with spinal cord injury.

The questionnaire will take approximately 20 minutes. You can save your answers in between and continue later.

Please contact us should you need any support or need clarifications via filling the contact form on our website (www.onwd.com/contact).

Thank you for shaping the future of spinal cord injury care together with us!

Personal details

To help us better understand your input, we would appreciate it if you could provide some details about yourself and your spinal cord injury.
Country of residence (for example Switzerland)*
What is your age in years?*
How many years ago was your spinal cord injury?

Less than 1 year1-4 years5-9 years10-14 years15 years and moreI don't know

Does your spinal cord injury affect your arms and legs (i.e., tetraplegia) or only your legs (i.e., paraplegia)?*

Arms and legs (i.e., tetraplegia)Legs (i.e., paraplegia)Other (example: central cord syndrome)
Can you feel (parts of) your legs, feet, or toes?*

YesNo
Can you voluntarily move (parts of) your legs, feet, or toes?*

YesNo
When you are sitting in a wheelchair, are you able to push yourself up with your arms (creating space between you and the cushion as shown in the picture below)?*

YesNo
Please indicate your spinal cord injury level (Example: T6, please estimate if you don't know exactly)

What functional improvement or support would be important for you in daily life? Please select the five most important aspects by clicking into the table fields below. The most important aspect goes into the top field (1st Priority).*

	Aspects
1st Priority
2nd Priority
3rd Priority
4th Priority
5th Priority

Please add any additional functional improvements we have not yet mentioned above, but are important to you for your daily life:

Feedback on lumbar therapy possibilities
ONWARD is developing an implantable system which allows stimulation to specific regions of the spinal cord. The questions in the following section are focusing on a stimulation applied in the lumbar region (i.e., the spinal cord between the pelvis and the chest). A stimulation in the lumbar region can support different functions and activities of the legs and feet.

It is the goal of this questionnaire to better understand which therapy opportunities are most important for you and other people with spinal cord injury.

Based on inputs from clinicians and a technical pre-evaluation we narrowed the therapy opportunities down to three possibilities for the lumbar region:
- Standing
- Stepping exercises & Assisted walking
- Reduction of spasticity in the legs
In the following section, each of the three possible therapies are described and we ask you to rate them. Please add comments to complement any aspect you feel needs further clarification.

Please note:
- ONWARD is also considering other stimulation locations and other therapies, but they are not part of this questionnaire.
- ONWARD is in the initial phase of the development and any of the identified therapies need to be investigated in clinical trials before safety and efficacy claims can be made.

Comparing therapy possibilities

In this section we ask you to compare the different therapy possibilities (i.e., Standing, Stepping exercises & Assisted walking, Spasticity in the legs) to better understand their importance to you.
Comparing Standing vs. Stepping exercises & Assisted walking
Which therapy could potentially add more value to your everyday life?*

StandingStepping exercises & Assisted walkingThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

StandingStepping exercises & Assisted walkingEqually often
Additional comments (optional)

Comparing Standing vs. Reduction of Spasticity in the legs
Which therapy could potentially add more value for your everyday life?*

StandingReduction of Spasticity in the legsThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

StandingReduction of Spasticity in the legsEqually often
Additional comments (optional)

Comparing Stepping exercises & Assisted walking vs. Reduction of Spasticity in the legs
Which therapy could potentially add more value for your everyday life?*

Stepping exercises & Assisted walkingReduction of Spasticity in the legsThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

Stepping exercises & Assisted walkingReduction of Spasticity in the legsEqually often
Additional comments (optional)

Rating: Which therapy could potentially add more value for your everyday life?

	Rating
Standing
Stepping exercises & Assisted walking
Reduction of Spasticity in the legs

Rating: Which therapy do you think you would be able to integrate more often in your everyday life?

	Rating
Standing
Stepping exercises & Assisted walking
Reduction of Spasticity in the legs

Thank you for participating in this questionnaire!

We have more questions on possible therapy priorities when stimulating in the neck region of the spinal cord. This would take another 15 minutes. We would be happy to hear your opinion on it.
What do you want to do?*

Submit my answers and not fill the rest of the questionnaire (click next and then submit).Save my answers (click save) and continue the second part of the questionnaire at a later time point. In this case you will receive an email with a link to continue later.I want to continue the questionnaire now (click next).

Feedback on cervical therapy possibilities
ONWARD is developing an implantable system which allows to stimulate specific regions of the spinal cord. The questions in the following section focus on stimulation applied in the neck region. Based on inputs from clinicians and a technical pre-evaluation we narrowed the therapy opportunities down to three possibilities:
- Breathing
- Arm & hand movement and sensation
- Reduction of spasticity in the arms and hands
In the following section, each of the three possible therapies are described. Please add comments to complement any aspect you feel needs further clarification.

Please note:
- ONWARD is also considering other stimulation locations and other therapies, but they are not part of this questionnaire.
- ONWARD is in the initial phase of the development and any of the identified therapies need to be investigated in clinical trials before safety and efficacy claims can be made.

Comparing therapy possibilities

In this section we will compare the different therapy possibilities (i.e. Breathing, Arm & hand movement and sensation, and Reduction of spasticity in the arms and hands) to better understand their importance to you.
Comparing Breathing vs. Arm & hand movement and sensation
Which therapy could potentially add more value to your everyday life?*

BreathingArm & hand movement and sensationThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

BreathingArm & hand movement and sensationEqually often
Additional comments (optional)

Comparing Breathing vs. Reduction of Spasticity in the arms & hands
Which therapy could potentially add more value for your everyday life?*

BreathingReduction of Spasticity in the arms & handsThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

BreathingReduction of Spasticity in the arms & handsEqually often
Additional comments (optional)

Comparing Arm & hand movement and sensation vs. Reduction of Spasticity in the arms & hands
Which therapy could potentially add more value for your everyday life?*

Arm & hand movement and sensationReduction of Spasticity in the arms & handsThey add equal value
Which therapy do you think you would be able to integrate more often in your everyday life (Examples: work, leisure, care)?*

Arm & hand movement and sensationReduction of Spasticity in the arms & handsEqually often
Additional comments (optional)

Rating: Which therapy could potentially add more value for your everyday life?

	Rating
Breathing
Arm & hand movement and sensation
Reduction of Spasticity in the arms & hand

Rating: Which therapy do you think you would be able to integrate more often in your everyday life?

	Rating
Breathing
Arm & hand movement and sensation
Reduction of Spasticity in the arms & hand

Thank you!

Thank you for dedicating your time to helping us define our future therapies!

We understand that no two spinal cord injuries are alike and would like to gather as much input as possible. If you know somebody else who has a spinal cord injury, please feel free to share this questionnaire with them as well.

We highly value your input and are open to any feedback you might have. Feel free to reach out to us by filling the contact form on our website (https://www.onwd.com/contact).
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ONWARD SCI Community Feedback Questionnaire

Personal details

Feedback on lumbar therapy possibilities

A) Standing

B) Stepping exercises & Assisted walking

C) Reduction of Spasticity in the legs

Comparing therapy possibilities

Comparing Standing vs. Stepping exercises & Assisted walking

Comparing Standing vs. Reduction of Spasticity in the legs

Comparing Stepping exercises & Assisted walking vs. Reduction of Spasticity in the legs

Feedback on cervical therapy possibilities

A) Breathing

B) Arm & hand movement and sensation

C) Reduction of spasticity in the arms and hands

Comparing therapy possibilities

Comparing Breathing vs. Arm & hand movement and sensation

Comparing Breathing vs. Reduction of Spasticity in the arms & hands

Comparing Arm & hand movement and sensation vs. Reduction of Spasticity in the arms & hands