Questionnaire About Work History And Previous Hand Problems For Metal

This survey may take 10 minites.

I Agree

To be completed by the tool representative:

Part 1: Visit Information

Visit Number:

Visit Date:

Video tape Number:

Name of the participant's company:

Location of the participant's company:

Number of participants in the company:

Number of employees in the participant's company

Part 2: Hand dominance/measurement

Name

Sex:

Male

Female

Current profession:

How many years are you in a metal working trade?

What brand of metal shear are you currently using at work?

test