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Wellness Site Check-In
This survey is specifically crafted for you to capture the specific needs and opportunities at your work location. By sharing your perspective, you'll help Healthy Lifestyles tailor our wellness programs to better serve our diverse organization.
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1.
Name of person completing
check-in:
(Required.)
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2.
EIN:
(Required.)
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3.
Salt Lake County Department
(Required.)
Addressing
Administrative Services
Aging and Adult Services
Animal Services
Archives
Arts & Culture
Assessor
Auditor
Behavioral Health Services
Building and Inspection
Clark Planetarium
Clerk
Community Services
Contracts & Procurement
Council
Council Tax Administration
Criminal Justice Advisory Council
Criminal Justice Services
District Attorney
Diversity & Inclusion
Economic Development
Elected Officials
Elections
Emergency Services
Employee University
Equestrian Park
Facilities Management
Fleet Management
Flood Control Engineering
Garbage & Recycling
Grant Partnerships & Special Projects
Green & Healthy Homes
Health Department
Homeless Services
Housing & Community Development
Human Resources
Human Services
Information Technology
Justice Court
Landfill
Lead Safe Housing
Library Services
Maps
Mayor's Finance
Mental Health Services
Mountain America Expo Center
New Americans
Open Space Trust Fund
Parks & Recreation
Planetarium
Planning & Development Services
Property Tax Information
Public Art
Public Works & Municipal Services
Public Works Engineering
Public Works Operations
Real Estate
Recorder
Records Management
Recycle
Regional Development
Salt Lake Convention & Visitor's Bureau
Salt Palace Convention Center
Sheriff
SLCo Sustainability
Stream Flow
Surveyor
Treasurer
Unified Fire Authority
USU Extension Services
Volunteer Services
Watershed Planning & Restoration
Weed Control
Youth Services
Zoo, Arts, and Parks
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4.
Location Name & Address
(Required.)
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5.
Number of Employees at Location (answer to the best of your ability)
(Required.)
0-49
50-99
100-199
200-299
300+
Benefits Eligible
0-49
50-99
100-199
200-299
300+
Non-Benefits Eligible
0-49
50-99
100-199
200-299
300+
Additional Comments:
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6.
Physical Activity: Encouraging regular movement to improve overall physical health within the workplace.
(Required.)
Yes
Sometimes
No
Are group exercise classes available or are there nearby gyms and recreation centers?
Yes
Sometimes
No
Is there a safe area outside for walking?
Yes
Sometimes
No
Are walking/standing workstations available?
Yes
Sometimes
No
Is there promotion and participation in physical wellness challenges such as March Into May?
Yes
Sometimes
No
Is physical activity part of the regular job duties at this location?
Yes
Sometimes
No
Is the HealthyMe Clinic promoted to employees and their spouses?
Yes
Sometimes
No
Is there encouragement to take walking meetings or movement breaks?
Yes
Sometimes
No
Are employees aware of the recreation center discount for county employees & their families?
Yes
Sometimes
No
Additional Comments:
*
7.
Mental Health: Prioritizing mental well-being by offering resources, support, and awareness around stress management, mental health issues, and work-related stress.
(Required.)
Yes
Sometimes
No
Are there promotions for the VEST Employee Assistance Program?
Yes
Sometimes
No
Are there any promotions for Mindful Moments through Healthy Lifestyles?
Yes
Sometimes
No
Has there been any employee satisfaction surveys conducted to assess mental well-being?
Yes
Sometimes
No
Are there any Suicide Prevention Resources/988 services promoted?
Yes
Sometimes
No
Has QPR (Question, Persuade, Refer) training been provided to employees?
Yes
Sometimes
No
Are there promotions for mental health programs/workshops offered through Healthy Lifestyles?
Yes
Sometimes
No
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8.
Tobacco Prevention: Promotion of programs and resources to support employees in quitting smoking and reducing tobacco use.
(Required.)
Yes
Sometimes
No
Are there promotions for Healthy Lifestyles tobacco cessation program?
Yes
Sometimes
No
Does your location enforce a tobacco-free campus?
Yes
Sometimes
No
Is there appropriate signage that states the worksite is a tobacco-free campus?
Yes
Sometimes
No
Additional Comments:
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9.
Nutrition: Promoting balanced diets and mindful food choices to support employee well-being and energy levels.
(Required.)
Yes
Sometimes
No
Are employees provided nutrient-dense food options through vending machines and catered events?
Yes
Sometimes
No
Would you be interested in a healthy meal vending machine like those offered by Hello Fresh? (Yes or NO
Yes
Sometimes
No
Is there promotion of nutrition education resources or workshops offered through Healthy Lifestyles?
Yes
Sometimes
No
Do employees have access to spaces where they can safely store, prepare, or reheat their own food?
Yes
Sometimes
No
Additional Comments:
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10.
Work-Life Balance: Fostering an environment that supports employees in maintaining a healthy equilibrium between work responsibilities and personal life commitments.
(Required.)
Yes
No
Is there a designated area for nursing mothers and/or a Mother’s Room?
Yes
No
Is the average turnover rate higher than 25%?
Yes
No
If employees participate in Healthy Lifestyles events, are they compensated for their time?
Yes
No
Is there an employee recognition program offered?
Yes
No
Additional Comments:
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11.
What are the general working hours and break times for employees at this location?
(Required.)
General Working Hours:
Break/Lunch Times:
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12.
Health Screenings & Preventive Care: Providing access to screenings, check-ups, and preventive health measures to detect and address potential health concerns early on.
(Required.)
Yes
Somewhat
No
Are annual physicals and vaccinations promoted and encouraged?
Yes
Somewhat
No
Is your location fully compliant with all relevant health and safety regulations?
Yes
Somewhat
No
Please provide additional information or details to elaborate.
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13.
Social Support / Diversity & Inclusion: Creating a supportive community network within the workplace that embraces and celebrates individual differences while ensuring equal opportunities and fair treatment for all employees.
(Required.)
Yes
Somewhat
No
Are employees encouraged to participate in corporate games?
Yes
Somewhat
No
Are there volunteer or community service opportunities offered?
Yes
Somewhat
No
Do employees regularly participate in worksite team building and wellness activities?
Yes
Somewhat
No
Is there promotion of a supportive and inclusive work environment?
Yes
Somewhat
No
Is the Parent Support Group offered through Healthy Lifestyles promoted?
Yes
Somewhat
No
Do employees at this worksite feel safe being their authentic selves?
Yes
Somewhat
No
Additional Details/Comments:
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14.
Which factors at this location may influence employee health?
(Required.)
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15.
Which dimensions of wellness are strongest at this location?
(Required.)
Cultural
Physical
Occupational
Mental
Social
Spiritual
Intellectual
Environmental
Financial
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16.
Which dimensions of wellness at this location can be improved?
(Required.)
Cultural
Physical
Occupational
Mental
Social
Spiritual
Intellectual
Environmental
Financial
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17.
What are some topics employees at your location would be interested in learning about?
(Required.)
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18.
If employees were to attend an Healthy Lifestyles event, class, or workshop nearby, which time and day would be most preferable?
(Required.)
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19.
What are some obstacles employees face in accessing Healthy Lifestyles programs, activities, classes, workshops, and events? (Select all that apply.)
(Required.)
Too much work
Not enough support/insufficient coverage in the office
Insufficient supplies or equipment
Workplace distractions
Personal distractions
Other/Additional Comments
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20.
What are some obstacles employees face in improving their health & wellness? (Select all that apply.)
(Required.)
Too much work
Not enough support
Insufficient supplies or equipment
Workplace distractions
Personal distractions
Other/Additional Comments
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21.
What are the best ways to provide employees with information about Healthy Lifestyles?
(Required.)
eConnect
Bulletin Board
Email
At Home Mailings
Text
Other
Other (please specify)
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22.
Is there any other pertinent information you'd like to share about your location?
(Required.)
Thank you for being the catalyst for change and fostering a culture of wellness at your site! Your input will directly influence a healthier, more supportive workplace environment for all.
Current Progress,
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