piph workplace survey Question Title * 1. please answer the following questions: Name: Company: Email Address: Phone Number: Question Title * 2. What is your title? Question Title * 3. Does your agency follow healthy meeting guidelines? Yes No Question Title * 4. Does your agency have a written policy for healthy meetings guidelines that addresses healthy food options and physical activity? Yes No Question Title * 5. If yes, is this policy posted visibly? Yes No N/A Question Title * 6. Is it distributed to employees as a yearly reminder? Yes No N/A Question Title * 7. Do you enforce the policy? Yes No N/A Question Title * 8. Would you like more information on the subject? Yes No Question Title * 9. Do you have an Employee Breastfeeding Policy or Lactation in the Workplace policy in writing that conforms to NYS Law? Yes No Question Title * 10. If no, would you like a sample policy? Yes No Question Title * 11. Would you like to schedule a meeting or training on the subject? Yes No Question Title * 12. If Yes, Is this policy posted visibly? Yes No Question Title * 13. If Yes, Is it distributed to employees? Yes No Question Title * 14. Do you have a vending machine available for employees? Yes No Question Title * 15. If you have a vending machine is it stocked with some of the following healthier options? Low fat items that are baked not fried Unprocessed whole food items such as nuts and seeds Whole grain items N/A If any, what other healthy options are available? Question Title * 16. Do You have a policy regarding the foods that are stocked in your vending machine? Yes No Question Title * 17. If No. Would youl like a sample policy? Yes No Question Title * 18. Would you like to schedule a meeting or training on the subject? Yes No Question Title * 19. Are beverages available for sale? Beverages that contain 100% fruit or vegetable juice with no added sweeteners Water Non-fat or 1% lowfat milk Beverages that are limited to a portion size no greater than 12 ounces(No limit on water) N/A Thank you for your time. Should you have any questions, please feel free to call Priscilla Tobin at MISN: ptobin@misn-ny.org 845-928-7448. Done