Body Mechanics Assessment
Please complete this assessment to help evaluate your posture, movement habits, and ergonomic factors related to body mechanics.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Job Title or Role
*
How often do you perform the following activities at work or during daily life?
*
Rows
Never
Rarely
Sometimes
Often
Always
Lifting objects heavier than 10 lbs
1
2
3
4
5
Prolonged sitting
6
7
8
9
10
Prolonged standing
11
12
13
14
15
Bending or twisting
16
17
18
19
20
Repetitive reaching or stretching
21
22
23
24
25
How would you rate your awareness of proper body mechanics during the following activities?
*
Rows
Very Poor
Poor
Fair
Good
Excellent
Lifting
26
27
28
29
30
Standing posture
31
32
33
34
35
Sitting posture
36
37
38
39
40
Pushing or pulling objects
41
42
43
44
45
Carrying loads
46
47
48
49
50
Do you experience any pain or discomfort related to the following areas? (Select all that apply)
Neck
Shoulders
Back (upper or lower)
Wrists or hands
Hips or legs
No pain or discomfort
Other
How would you rate your overall posture throughout the day?
*
1
2
3
4
5
Do you use ergonomic equipment (e.g., adjustable chair, standing desk, supportive shoes) at work or home?
*
Yes
No
If you use ergonomic equipment, please specify which items:
Have you received any training or education on proper body mechanics?
*
Yes
No
Please share any additional comments, concerns, or suggestions regarding your body mechanics or workplace ergonomics.
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