VDU Workstation Questionnaire Date * YOUR DETAILS Your name * Your email * Your job title * Your height * Intensity of VDU work LowMediumHigh Approx time spent per day using your computer * hours Type of work * % on the computer % on paperwork % on the phone % on other tasks Do you use a laptop computer? YesNo Are you a touch typist? YesNo Do you use any of the following? please tick all which apply Foot restWrist supportDocument holderScreen filter Are you required to work at home using a computer? YesNo At work, do you ever suffer from any of the following? please tick all which apply Tired eyesHeadachesAches and pains If yes, please give details: 1) MONITOR a) Can your monitor tilt and swivel? YesNo b) Is the top of your monitor level with or just below eye level? YesNo 2) SCREEN a) Are you aware of screen contrast and brightness controls? YesNo b) Is the screen free from flicker? YesNo c) Is the screen regularly cleaned? YesNo d) Is information on the screen easy to read? YesNo 3) KEYBOARD / MOUSE a) Are you aware of the tilt options for the keyboard? YesNo b) Can you comfortably reach your mouse without over stretching? YesNo c) Do you use a suitable mouse mat? YesNo 4) DESK a) Do you have sufficient desk space to perform all your activities? YesNo b) Is there sufficient space for your arms to rest in front of the keyboard? YesNo c) Is the layout of your equipment suitable to your needs? e.g. phone YesNo d) Is there enough leg room under the desk? YesNo 5) CHAIR a) Do you find your chair comfortable? YesNo b) Do you know how to use all the adjustments on your chair? YesNo 6) ANCILLARY EQUIPMENT a) Have you got a suitable document holder if required? tick Yes if not required YesNo b) Have you got a suitable foot rest if required? tick Yes if not required YesNo 7) SPACE a) Does the layout of your work area allow you to work comfortably? YesNo b) Can you reach all your equipment without excess stretching or twisting? YesNo c) Do you have sufficient storage space? YesNo 8) LIGHTING a) Is the screen free from glare? YesNo b) Is there sufficient light to conduct all your tasks? YesNo c) Is your field of view free from distracting light sources? e.g. lights or windows YesNo d) Are blinds available for windows if necessary? YesNo 9) NOISE a) Is the noise level in your work area acceptable? YesNo 10) TEMPERATURE a) Is the temperature comfortable to work in? YesNo b) Is your work place free from drafts? YesNo 11) TRAINING a) Have you had sufficient training to avoid problems using your computer? YesNo b) Have you had suitable instructions how to adjust your chair and computer? YesNo 12) POSTURE a) Are you able to achieve a comfortable working posture at your desk? YesNo b) Is the screen at roughly arm's length? 50-70cm YesNo 13) VISION a) Have you had an eye test since starting to use a computer? YesNo b) Have you had an eye test in the last 4 years? YesNo 14) WORK ORGANISATION a) Are you able to take adequate breaks from using your computer? YesNo b) Are you satisfied that any special needs have been taken into account? YesNo c) Are you aware of whom to go and see if you experience any problems using your workstation? YesNo 15) Any other comments Thank you for your time
