Workplace Ergonomics Survey

Workplace Ergonomics Survey — Form Fields

This surveys template includes 9 fields. Assess employee physical comfort, workstation setup quality, and ergonomic concerns in the workplace. Free to customize and use on ZenBuild.

• Work Setting (dropdown selection, required) — options: Office, Home, Hybrid, Field/Warehouse
• Primary Work Activity (dropdown selection, required) — options: Desk/Computer Work, Standing Work, Physical/Manual Labor, Meetings, Travel, Other
• Overall Physical Comfort During Work (rating, required)
• Workstation Setup Adequacy (rating, required)
• Lighting Quality (rating, required)
• Do you experience work-related physical discomfort? (multiple choice, required) — options: Daily, Often, Sometimes, Rarely, Never
• Physical Issues Experienced (checkboxes, optional) — options: Back Pain, Neck/Shoulder Strain, Eye Strain, Wrist/Hand Pain, Headaches, Leg/Foot Discomfort, None
• Has ergonomic equipment been provided? (multiple choice, required) — options: Yes, Partially, No, I Work Remotely/Self-Equipped
• What ergonomic improvements would help most? (long text, optional)