Thermal Comfort Assessment Form
Please complete this assessment to help us understand your thermal comfort experience in this space.
Location within the space
*
Date and time of assessment
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What is your primary activity in this space?
*
Sitting (desk work)
Standing
Light movement
Physical activity
Other
How would you rate the air temperature in this space?
*
Much too cold
Slightly too cold
Comfortable
Slightly too warm
Much too warm
Please indicate your clothing level:
*
Light (short sleeves, shorts)
Medium (long sleeves, trousers)
Heavy (sweater, jacket)
Other
Please rate the following aspects of your environment:
*
Rows
Very Unsatisfactory
Unsatisfactory
Neutral
Satisfactory
Very Satisfactory
Air movement
1
2
3
4
5
Humidity
6
7
8
9
10
Noise level
11
12
13
14
15
Lighting
16
17
18
19
20
How would you rate your overall thermal comfort?
*
1
2
3
4
5
Have you made any personal adjustments (e.g., clothing, window, fan) to improve comfort?
*
Yes
No
If yes, please specify the adjustments you made:
Additional comments or suggestions
Submit Assessment
Should be Empty: