Office Ergonomic Self Help Kit Evaluation Form

We would like to hear from you about how you used the Office Ergonomic Self Help Kit and whether you found the material useful. Your feedback will assist us in making revisions and developing other similar materials.

Please fill out the form and return it to us.

1. The Office Office Ergonomic Self Help Kit helped me to

evaluate my own computer workstation
identify and solve problems with the set up of my computer workstation
increase my awareness about office ergonomics
others (please specify)

2. This is what I like about the kit.

4. This is what I did not like about the kit.

5. I am a

worker
supervisor/manager
occupational health professional
other (please specify)

6. Other comments.

Submit Form

Please return this form to the

MFL Occupational Health Centre
102-275 Broadway
Winnipeg, Manitoba, R3C 4M6
Fax 204-956-084