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Body Measurements Form

This document will help you measuring your body for the ordering of office equipment.

Uploaded by

Christopher Elphick
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© © All Rights Reserved
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69 views1 page

Body Measurements Form

This document will help you measuring your body for the ordering of office equipment.

Uploaded by

Christopher Elphick
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

®

Adapt easiSpec
Seating Evaluation & Measurement Form
Date: Assessment ref:

Client:

Company:

Telephone / Contact:

Please provide a brief description of any musculoskeletal condition and/or any previous injuries that may be relevant.
Please comment on any back pain experienced whilst seated and what makes that pain better or worse.

Dimensions
D
Weight (stones/ Kg) Adapt
E H
Height (Feet & inches /mm) F G C
Work Surface Height
(Feet & inches /mm) B

A
A - Back of Knee joint to floor (mm)

B1 - Back of Buttock to back of Knee B2 - Back of buttock to back of Knee

C - Seated Hip width (mm) at widest point If client has a known leg differential, please measure each leg
independently. Use box B1 to state measurement of the Right leg (as sat)
D – Nape of Neck [if using Head Rest] (mm) and box B2 for Left leg (as sat).

E - Seat surface to Shoulder (mm)

F - Lumbar Height (mm) to deepest point

G – Seat surface to underside of Arm (mm)

H – Elbow to Elbow [if using Arms] (mm)

Please describe any other requirements deemed relevant, giving dimensions if not already covered by the above:

All information is strictly confidential & used solely to assist with assessing anthropometric and postural requirements in order to specify the best possible solution.

Please return completed form to: Ergochair Ltd Email: sales@ergochair.co.uk Fax: 01454 329266

©2013 copyright all rights reserved Ergochair Ltd

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