0113 262 8000 admin@moduloseating.com

Quote Request

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Request a quote

Please use the form below to request a quote for your bespoke modulo chair. Before starting the form, please ensure you have referred to our size guide, which will assist in taking your measurements correctly and accurately.

Step 1 of 3

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Name
First Last
Phone
Email
Local Authority

Width required in inches

Please note all modulo chairs have an adjustable width of 14 inches - 21 inches
Depth required in inches

Please note all modulo chairs have an adjustable depth setting which is 16 inches - 21 inches
Height required in inches

Please note all modulo chairs have an adjustable height between 15 inches and 21 inches
Is the user over 20 stone?
- Yes
- No
Is the user able to weight bare?
- Yes
- No
Does the user require a pressure redistribution cushion?
- Yes
- No
If, yes...
- Medium Risk
- High Risk
Posture Support Required
- Waterfall Back (Supplied as standard on all modulo chairs)
- Butterfly backrest (offers more fitted support around thoracic aswell as added head support)
- Double lateral waterfall backrest ( creates more of a deep contoured backrest which gives a more holistic upper body support)
- Flat back (a very comfortable padded backrest that gives the user a more firm rigid support)
Does the user require Extra Lateral support?
Adjustable removable lateral supports – available with all backrest options. Designed to offer the optimum level of lateral support. Offers the user a more static rigid support to aid more acute leaning or scoliosis.
- Yes
- No
Head Support
- Head /neck roll
- Horseshoe
- Head pillow
Handset Setting
- Right
- Left
- Carer control
Rise setting
- Standard rise (approx. 6 inch rise then 12 inch forward tilt rise)
- Flat rise (approx. 14 inch of flat rise without tilt)

Which modulo chair would you like to be quoted on?
Do you need to move the chair from room to room?
Standard Modulo riser is provided on feet. Porter riser has been specifically designed and manufacture to allow user to be pushed whilst seated in the chair. Modulo care is a fully Tilt in space care chair on castors.
- Yes
- No
What colour chair are you interested in?
Further Comments

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6 Buslingthorpe Green,
Leeds
LS7 2HG

0113 262 8000
admin@moduloseating.com

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