MEASUREMENTS FORM

Standing Measurements (or laying on back)

A
B
C
D
E
F
G
H
I
J
K
L
M

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

BFloor to Elbow or Bent Arm

CInseam (Groin to Heel)

DFloor to Armpit

EFloor to Wrist (Arms relaxed at sides)

FStanding Height (Laying measurement OK)

GChest Width

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

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

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

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

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

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