Ergonomic Assessment Step 1 of 2 - Contact Information 50% Name* First Last Email* Phone* Campus*Charles River Campus (CRC)Medical Campus (BUMC)Boston Medical Center (BMC)OtherOffice Address:*Please provide street address as well as office room #. Street Address Room #: Supervisor Email:* Would you like to have your workstation evaluated by Environmental Health & Safety (EHS)*YESNOPlease select days and times that work best for you:*Mon - AMMon - PMTue - AMTue - PMWed - AMWed - PMThu - AMThu - PMFri - AMFri - PMAt my workstation, I am experiencing the following issues:* Excessive fatigue, eye strain, or neck or back pain. Discomfort or awkward positioning with arms, wrists, or shoulders. Awkward head postures or frequent movements of the head and neck to look from the monitor to a document. Space issues on or under work surfaces. Inadequate support or lack of support for back, legs, lumbar, seat, or arms. No issues. I would like to learn more about an ergonomic setup.