WORKWELL: A Healthy Office Initiative

Please fill out all information below to help us understand your organization's workspace setup and ergonomic needs.

1

Organization Profile

2

Trial & Pilot

3

Chair Selection

Organization Profile

Organization Name *

Your Name *

Your Role / Department *

Email Address *

Contact Number *

Primary Office Location

City

Number of Employees at this Location

Workspace Layout (select all that apply)

Open-plan officeIndividual enclosed officesHot-desking / shared desksDedicated assigned desksCall center / trading floor styleCo-working / serviced officeOther

Company Trade License

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