NuMotion Survey

NuMotion Survey

Calling all wheelchair users – ENOUGH IS ENOUGH! Do you believe the mobility equipment giant NuMotion, with its 170 locations and 250,000+ customers, is getting too BIG? Are you hearing stories of how NuMotion is cutting corners resulting in harmful experiences to our community members? Have you experienced an unfortunate wheelchair repair and/or equipment purchase? If so, share your story with The Spinal Cord Injury Law Firm through this form TODAY to help not only yourself but also others in our community! NuMotion can and will change its practices if we speak up together. This form is HIPAA compliant.
Your Full Name*

First NameLast Name
Your Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
State you live in *
Delay in Receiving Parts or ServiceReceived Defective or Wrong PartCushion IssueFootplate IssueUntrained TechnicianWheel IssueHead Array, Sip and Puff, or Chin Control IssueSoftware ProblemJoystick PlacementWheelchair Frame IssueImproper LoanerOther Service IssueImproper BillingProvided Refurbished Parts without my ConsentService unable to be performed onsite with customer, ie, took mobility device away from customerOther
Damaged WheelchairDamage to HomeInjury to the BodyPressure Wound / Skin DamageHospitalization / Further Medical TreatmentHomebound / Bed-boundMonetaryFraudEmotional DistressLoss of LimbDeathOther
Share your NuMotion Problem / Story*
Do you need immediate help?
When did the problems and harms occur?*
Ex: You can provide an exact date such as September 5, 2019, or you can be more generalized with the following: September 2019, all throughout 2019, or you can answer ever since I started working with NuMotion in 2017
YesNo
YesNo
Do you have any support documents?

Ex: You can provide pictures of your wheelchair, wounds, billing documents, or any documentation surrounding the problem or harm to you.
Cancelof
Should be Empty: