Measurements Form


Floor to Buttocks (Most frequently used when measuring for a Kaye Walker)

Floor to Elbow or Bent Arm

Inseam (Groin to Heel)

Floor to Armpit

Floor to Wrist (Arms relaxed at sides)

Standing Height (Laying measurement OK)

Chest Width

Hip Width (Measure in a straight line. If unsure, place a book touching each hip and measure distance between books)

Width at Knees (Observe position. Are knees wider than hips? Or windswept to one side or another? Record in notes below)

Knee to Heel (Consider measuring with shoes or any braces that are frequently worn)

Seat to Top of Head (Measure with support as if the assistive device was being used)

Seat Depth (Back of knee to the back of the Buttocks or surface of the back of the chair)

Seat to Shoulder (Measure with support as if the assistive device was being used)



Measurements

Please take passengers measurements when they are in a relaxed state as this is how they will sit in the chair.

Lower leg length, seat depth and seated height when added together should equal or be
very close to their actual total height in inches.
Seat depth and lower leg length should both be very close to the same
measurement.




Value is required
Value is required
Value is required
Thank you!