MOBILITY ASSESSMENT PREPARATION
Yenra - October 4, 2026
Guide: https://yenra.com/mobility-devices/

Purpose: prepare a discussion with a clinician or wheelchair service.
This is a personal observation worksheet, not a prescription or equipment rating.
Complete only useful fields. Keep medical and personal details private.
Ask the assessment team which photographs or measurements it needs.

1. THREE EVERYDAY ACTIVITIES (repeat for each activity)
Activity and reason it matters:
Place and frequency:
Current equipment or assistance:
What is difficult and when it changes:
What successful participation would look like:

2. ENVIRONMENT
Home routes, doorways, turning spaces and surfaces:
Work/school routes and desk access:
Transport, loading and storage arrangements:
Assistance available and its limits:
Charging/power location if relevant:
Requested measurements (record units, location and who measured):

3. QUESTIONS FOR THE TEAM
Seating, posture, transfer and control questions:
Representative task for a supervised trial:
Training needed by user and helpers:
Who makes adjustments:
Funding/authorization questions to resolve before ordering:
Supplier, warranty, repair contact and downtime plan:

4. TRIAL AND FOLLOW-UP
Date, exact device/configuration and professional supervising:
Task tried under the team's instructions:
What worked:
Where help was needed or a problem occurred:
Adjustment or question for review:
Person responsible and next review date:

Context: the guide cites WHO wheelchair provision guidance on individual
assessment, fitting, training and follow-up, plus ACL State AT Program and
Medicare information. Program availability and eligibility must be checked
with the relevant organization. Follow professional and manufacturer guidance
for trials, transfers, charging and use.