Worksite Programs of Interest

Thank you for your interest in the programs offered by the Salt Lake County Health Department Healthy Living Program. Please complete the following form so we can help you get started.

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* 1. What company do you represent?

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* 2. Who is the best point of contact?

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* 3. Point of contact phone number?

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* 4. Point of contact email address?

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* 5. What programs are you interested in? (select all that apply)

Physical Health-Nutrition Policies and Programs

Physical Health-Physical Activity

Physical Health-Diabetes Prevention

Physical Health-Tobacco Free

Mental Health-Policy Guidance

Mental Health-Suicide Prevention

Accommodation-Breastfeeding

Accommodation-Child Care

Accommodations-On-Site Clinics

Community Responsibility-Needs Identification

Community Responsibility-Food Access

Community Responsibility-Community Resources

Worksite Programs of Interest

Question Title

* 1. What company do you represent?

Question Title

* 2. Who is the best point of contact?

Question Title

* 3. Point of contact phone number?

Question Title

* 4. Point of contact email address?

Question Title

* 5. What programs are you interested in? (select all that apply)

Question Title

* 6. Do you have any additional comments or questions?