Worksite Wellness Survey
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1. Promoting health and wellness in the workplace
By completing this brief survey you are helping us gather data on worksite wellness practices in Chaffee County. Thank you - LiveWell Chaffee County
1
. How many employees do you have at your business?
How many employees do you have at your business?
# of part-time employees
# of full-time employees
2
. Does your business offer worksite wellness programs or activities?
Does your business offer worksite wellness programs or activities?
Yes
No
3
. If so, please indicate which of the following programs you offer (please check all that apply):
If so, please indicate which of the following programs you offer (please check all that apply):
Nutrition (ex. healthy cooking, weight management programs)
Fitness (ex. stretching programs, corporate fitness membership rates, onsite exercise equipment, walking programs)
Screening (ex. blood pressure checks, blood sugar, cancer screenings, vision)
Educational (cancer prevention, heart disease prevention, cold/flu prevention, managing job stress)
Stress Reduction
Time Management
Smoking Cessation
Resource Center
Other (please specify)
4
. How many employees are currently participating in your worksite wellness programs (part and full time)?
How many employees are currently participating in your worksite wellness programs (part and full time)?
Number of employees participating
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