Request for Services

If you have questions about this service, feel free to call or email us for more information.

To request this service, complete the form below and you will receive a questionnaire along with instructions on how to send us digital images of your setup. After we receive your questionnaire and digital images, you will be emailed an invoice via PayPal. Once the invoice is paid, your own personal ergonomics consultant will contact you and will begin the process to remotely evaluate your environment and posture.

Name:

Email address:

Phone number:

Best time to call: Morning Afternoon Evening

City and country (if outside the US):

On a scale of 0 to 10, what is your current pain level?

Please describe the specific pain or other problems you experience while using the computer:

How did you hear about our services?