Ergonomic Seating Evaluation Form
Please complete this Ergonomic Seating Evaluation Form to help us assess the comfort, adjustability, and support provided by your current seating. Your feedback will guide improvements for a healthier and more productive environment.
Your Name
*
First Name
Last Name
Department or Location
Seating Type
*
Please Select
Task Chair
Executive Chair
Stool
Bench
Other
How often do you use this seat?
*
Less than 2 hours/day
2–4 hours/day
4–6 hours/day
More than 6 hours/day
Please rate the following aspects of your seating:
*
Rows
Poor
Fair
Good
Excellent
Seat Comfort
1
2
3
4
Lumbar Support
5
6
7
8
Seat Height Adjustability
9
10
11
12
Armrest Adjustability
13
14
15
16
Seat Depth
17
18
19
20
Backrest Support
21
22
23
24
How easy is it to adjust your seat to your preference?
*
1
2
3
4
5
Does your seat encourage good posture?
*
Always
Often
Sometimes
Rarely
Are there any features you wish your seat had?
Overall, how satisfied are you with your current seating?
*
Not Satisfied
1
2
3
4
5
6
7
8
9
Very Satisfied
10
1 is Not Satisfied, 10 is Very Satisfied
Additional comments or suggestions
Submit Evaluation
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