Some individuals may be able to walk a little and only
use a
wheelchair because of pain or difficulty
due to a physical limitation of some kind.
Loss of, or loss of the
use of one or more lower extremities
due to service on or after September 11, 2001, which so affects the functions of balance or propulsion as to preclude ambulating without the aid of braces, crutches, canes or a
wheelchair
Are you currently hospitalized, confined to a nursing facility, a bed, or a
wheelchair due to chronic illness or disease, currently
using oxygen equipment to assist in breathing, receiving Hospice Care or home health care, or had an amputation caused by disease, or do you currently have any form of cancer (excluding basal cell skin cancer) diagnosed or treated by a medical professional, or do you require assistance (from anyone) with activities of daily living such as bathing, dressing, eating or toileting?