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Product Reference: Please select....

ERGONOMIC SEATING | ERGOCHAIR ADAPTATIONS

 

ERGO CHROME FOOTRING

 

 

 


SEATING ASSESSMENT FORM
MAKING SURE YOU GET THE RIGHT SEAT FOR YOU


Please enter your measurements and details into the form below, submit and we will be in touch as soon as possible to help you with your specific requirements.


NAME

FIRST NAME
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SURNAME
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COMPANY NAME
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TEL PHONE*
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EMAIL*
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Please provide a description of any musculoskeletal disorder and any previous injuries to your spine. Please comment on any back pain experienced while seated and what makes that pain better or worse.

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DIMENSIONS

WEIGHT (STONES)
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HEIGHT (FEET AND INCHES)
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A. HEIGHT AND LUMBAR ABOVE SEAT
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B. BACK OF KNEE JOINT TO FLOOR
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C. BACK OF BUTTOCK TO BACK OF KNEE
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D. SEAT SURFACE TO SHOULDER
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E. HIP TO HIP
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F. SHOULDER WIDTH
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G. DESK HEIGHT
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WOULD YOU LIKE ARMS ON THE CHAIR?
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DESK SHAPE
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FLOOR TYPE: WOOD, CARPET, CONCRETE, ETC
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ANY OTHER COMMENTS
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Please submit this form and we will contact you to arrange delivery as soon as possible.

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