Development of Surface Roughness Standards for Pathways Used by Wheelchair Users: Final Report

APPENDIX C

SUBJECTIVE RATING QUESTIONNAIRE

2. What was your pain/discomfort value associated with this surface (circle)?
0    1      2      3      4      5     6    7     8    9     10
None                                                     Extreme

3. What surface does this trial most feel like (put a mark in the most appropriate box)?

4. How would this surface hinder your decision to travel 5 blocks (5 football fields, 0.45km, 0.25mi) to get to a leisure activity?

Greatly      Slightly     Not at all