First Name
Email
*
Phone
What's your budget like?
Monitor Manufacturer and Model Number
Zip Code
Do you intend to use your own recliner with the workstation?
*
Yes
No
Do you want to use your workstation over a bed?
*
Yes
No
Do you need your monitors to be closer than 15 inches away from the face?
*
Yes
No
Do you weigh over 400 pounds?
*
Yes
No
Do you need any assistance with reaching and pulling?
*
Yes
No
Do you need any assistance with moving from a seated to a standing position?
*
Yes
No
Do you want the option of working in a standing position?
*
Yes
No
Do you want the chair to be able to lie completely flat?
*
Yes
No
Is the area you have available for the workstation at least 5 feet by 7 feet?
*
Yes
No
Do you have a ceiling height of at least 7 feet?
*
Yes
No
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