Wellness Employee Survey

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We'd like to learn about your interest in worksite wellness. Please take a few minutes to complete this survey. Your responses will be used in planning worksite wellness programs for our employees. All survey responses are completely anonymous. If 80% or more of the employees complete this survey within the first 7 days, Beckham Insurance Group will buy lunch for everyone.
Please rate your interest in the following health topics:

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* 1. Please rate your interest in the following health topics:

  Not Interested Somewhat Interested Very Interested
Healthy Eating
Heart Health
Healthy Cooking
Men's Health
Woman's Health
Diabetes
Physical Activity
Stress Management
Walking Program
Weight Management
Cash-Flow Management (Finances)
Smoking Cessation
Understanding Health Insurance
If it was a topic of interest to you, how likely are you to participate in the following:

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* 2. If it was a topic of interest to you, how likely are you to participate in the following:

  Not at all Likely Somewhat unlikely Somewhat Likely Very Likley
Weight loss (Multi-week program)
Stress Management Program
Healthy Eating (single session workshop)
Heart Health (single session class)
Health Screening (example: blood pressure screening)
Self-directed programs (example: activity tracking program)
Group events in the community (example: heart walk, 5k)
I do not plan to participate in any wellness programs at work.
What time of the day would be best for you to participate in a wellness activity? (check only one answer)

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* 3. What time of the day would be best for you to participate in a wellness activity? (check only one answer)

How long should a wellness activity last?

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* 4. How long should a wellness activity last?

If a wellness activity was of interest to you, would you be willing to pay participate? (example: group walk or run, weight management or exercise program, cooking program)

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* 5. If a wellness activity was of interest to you, would you be willing to pay participate? (example: group walk or run, weight management or exercise program, cooking program)

If you answered yes to the above question, please indicate how much you would be willing to spend?

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* 6. If you answered yes to the above question, please indicate how much you would be willing to spend?

Which of the following incentives would increase your likelihood to participate in wellness activities? (check all that apply)

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* 7. Which of the following incentives would increase your likelihood to participate in wellness activities? (check all that apply)

How would you prefer to receive information about the company's worksite wellness events?

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* 8. How would you prefer to receive information about the company's worksite wellness events?

Would you support any of the following: (check all that apply)

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* 9. Would you support any of the following: (check all that apply)

Are there any barriers that prevent you from participating in wellness activities? (Check all that apply)

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* 10. Are there any barriers that prevent you from participating in wellness activities? (Check all that apply)

What is the best way for your worksite to help employees to be more physically active?

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* 11. What is the best way for your worksite to help employees to be more physically active?

What is the best way for your worksite to help employees eat healthier?

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* 12. What is the best way for your worksite to help employees eat healthier?

What is the best way for your worksite to help employees reduce their stress levels?

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* 13. What is the best way for your worksite to help employees reduce their stress levels?

What is the best way for your worksite to help employees quit smoking?

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* 14. What is the best way for your worksite to help employees quit smoking?

Tell us a little about yourself...
Are you:

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* 15. Are you:

Age Group

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* 16. Age Group

How do you access the internet (Check all that apply)

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* 17. How do you access the internet (Check all that apply)

In which of the following categories would you place yourself? 

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* 18. In which of the following categories would you place yourself? 

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