ErgoGenesis, manufacturer of BodyBilt® ergonomic seating, is committed to offer a variety of high-quality, highly ergonomic workplace tools, solutions for every work environment.

  
 

ERGONOMIC EVALUATION

Please complete this quick 4 step process of identifying your pain areas, body type and how you use your chair/workstation which will help us determine the best solution for your ergonomic needs.    

STEP 1 : YOUR PAIN AREAS & PHYSICAL CHARACTERISTICS - click here
 
The first step in determining how we build your custom ergonomic chair / workstation is to identify areas of concern that may cause pain or affect your comfort levels with your current chair / workstation.
 
Cervical

L Rotator Cuff

Thoracic

L Elbow

Pelvic Area

L Forearm

L Wrist

L Hand

Sciatica
Shoulders

R Rotator Cuff

Lumbar

R Elbow

Tailbone

R Forearm

R Wrist

R Hand

Hip Joint
Height :   Weight :   Inseam :
         
Hand Dominance :   Vision :    

STEP 2 : HOW YOU USE YOUR CHAIR - click here
 
Please CHECK each box that applies.
   

1. I sometimes sit on the front of my chair (perch) without back support.

2. My chair does not have much back lumbar support.

3. I can’t move my backrest up and down.

4. I can’t adjust the height on my chair so I can rest my heels flat on the floor.

5. I sometimes experience discomfort where the front edge of the seat meets the bottom of my thigh.

6. There is more than 2 inches front the front edge of my chair to the back of my knees.

7. I can’t move the seat pan closer or further from the back of the chair.

8. The seat is too wide or not wide enough.

9. The seat does not have enough cushion.
10. The armrests interfere with me getting close to my work.
11. I’m not able to get the arms in the right place.

12. My chair is broken.
   
   

STEP 3 : HOW YOU USE YOUR KEYBOARD / INPUT DEVICES - click here
 
Please CHECK each box that applies.
   

1. My keyboard/mouse are more than 3 inches higher than my lap.

2. My mouse is not right next to the keyboard so I have to reach for it.

3. My elbows are not at my side and close to the back of the chair when typing.

4. My keyboard/mouse are not at the same height level.

5. My keyboard/mouse are not stable and maintain their adjusted position.

6. My wrists bend upward or downward when computing.

7. My keyboard/mouse have sharp edges that my wrist rest on causing discomfort.
   
   

STEP 4 : HOW YOU USE YOUR MONITOR - click here
 
Please CHECK each box that applies.
 

1. I sometimes lean towards my monitor.

2. My monitor is not positioned directly in front of me on centerline with my body.

3. I’m not able to sit against the back of the chair...reach out and touch my monitor.

4. My eye level is not 3-4 inches from the top of my screen.

5. My monitor has glare and reflected light.

6. I use more than 1 monitor on my desk.

7. I often look from the screen to documents on my desk.

8. The documents are not positioned in centerline with me, below my monitor.

9. When on the phone, I sometime pinch the phone between my ear and shoulder.
   
 

PLEASE CONFIRM YOUR CONTACT INFORMATION
 
First Name : Last Name :
       
Email Address : Phone :
       
Company : Job Title :
       
City : State :
       
Additional Info (areas of concern, sitting habbits, questions)
       
Who Referred You? Demo Code* :
       
*The Demo Code is reserved for existing customers only. All others will be assessed a $99 Evaluation Fee. If you have forgotten your demo code or would like to become a new customer, please contact Kevin Cree directly at (214) 269-1271.
 

 


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