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First Step Physiotherapy Clinic and Research Institute: Workstation Questionnaire

This document is a workstation assessment questionnaire from the First Step Physiotherapy Clinic and Research Institute. It contains 11 questions about ergonomics and workstation setup, including questions about monitor height and angle, adjustability of equipment, ability to stand periodically, wrist position while typing, shoulder position, and ease of reaching frequently used items. It asks the respondent for feedback on any pain experienced and their satisfaction with previous health checkups done by the company. Responses will be kept confidential and used solely to implement ergonomic changes and meet company wellness requirements.

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kitu_alagappan4720
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61 views

First Step Physiotherapy Clinic and Research Institute: Workstation Questionnaire

This document is a workstation assessment questionnaire from the First Step Physiotherapy Clinic and Research Institute. It contains 11 questions about ergonomics and workstation setup, including questions about monitor height and angle, adjustability of equipment, ability to stand periodically, wrist position while typing, shoulder position, and ease of reaching frequently used items. It asks the respondent for feedback on any pain experienced and their satisfaction with previous health checkups done by the company. Responses will be kept confidential and used solely to implement ergonomic changes and meet company wellness requirements.

Uploaded by

kitu_alagappan4720
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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First step physiotherapy clinic and research institute

Workstation questionnaire

Name: Age: sex:

1. When sat down at your desk, are your hips at a 90-120 degree angle and feet flat on the
floor?

Yes No

2. Can the height and angle of your monitor, keyboard and chair be adjusted?

Yes No

3. Is it practical for you to stand periodically whilst continuing to work?

Yes No

4. Is the top of your monitor or laptop screen at the same level as your eyes?

Yes No

5. Is your screen a minimum of 50 cm away from your eyes?

Yes No

6. Are your wrists able to remain flat when you are typing?

Yes No

7. Are your shoulders relaxed, with upper arms parallel with your torso?

Yes No

8. Are your most used items all available within easy reach?

Yes No
9. What kind of pain due you experience often?

Eg: neck pain/back pain etc

10. Are you satisfied with our prevention health check up with your company?

Good fair average

11. Your feedback and suggestions :

We assure that your reports are confidential and not disclosed to your company or colleges;
workstation assessment questionnaire is purely for implementing ergonomic alternations for
you and your company wellness requirement

Thank your cooperation

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