Skip to main content
Human Resources

Workstation Ergonomics Self-Assessment

Desk, chair, screen, and pain points – for office and home setups alike.

4 questions · 1 page · about 2 minutes to answer · fully editable after you start

Ergonomic injuries announce themselves in this survey months before they reach occupational health. This self-assessment walks through the setup – chair support, screen height, keyboard position, for office and home desks both – and asks directly about the early signals: end-of-day discomfort by body area and its frequency.

The home-setup answers matter most now: remote desks are where the worst setups hide, and a modest equipment budget targeted by these responses beats any generic allowance.

Template preview

This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.

Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.

Page 1

Your workstation

This self-assessment asks about your workstation and any discomfort you have. Your answers help us fix set-ups that are causing strain. It takes about 2 minutes.

Q1.Which setup do you use most?*

  • Office desk
  • Fixed home desk
  • Kitchen table / sofa / varies

Q2.How is your main setup?*

NoPartlyYes
Chair supports my back
Screen at eye height
Keyboard comfortable
Mouse comfortable
Lighting adequate

Q3.How often do you end the day with discomfort in...

RarelyWeeklyMost days
Neck or shoulders
Lower back
Wrists or hands
Eyes or headaches

Q4.What equipment would most improve your setup?

Respondent types their answer here…

More Human Resources templates

Browse all Human Resources templates