I was in a meeting the other day and the lady in a wheelchair came in and didn't have any arms. I asked her if she wanted to see my notes and she said no its ok just put mine on the floor for me. So I did, she got her pen out and leant forward and started writing and turning the pages with her toes. It was AMAZING. I didnt want to stare but I was just gobsmacked. It was brilliant. I am so ignorant to these sorts of things.