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

    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

    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

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