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.

* 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

* 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.

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

* 4. How long should a wellness activity last?

* 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)

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

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

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

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

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

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

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

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

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

Tell us a little about yourself...

* 15. Are you:

* 16. Age Group

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

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

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