Wellness Ambassador Survey-General Information Question Title * 1. How long have you been the Wellness Ambassador for your agency? Question Title * 2. Prior to starting this role, did you receive any training from the previous Wellness Ambassador? Yes No Question Title * 3. Please indicate your level of experience as an Wellness Ambassador. Novice...new additional support or training needed Experienced...comfortable with the role Very experienced to expert...very knowledgeable and can mentor or support others Question Title * 4. Are the employees at your agency familiar with the TCLW program? Yes No Question Title * 5. If you answered yes to the previous question, do they regularly participate in the activities or events? Yes No Question Title * 6. Do you know where to locate Well-Being Connect (Healthways portal)? Yes No Question Title * 7. If you answered yes to the previous question, are you familiar with Well-Being Connect? Yes No Question Title * 8. Have you completed your Well-Being 5 Survey this program year (7/1/15-6/30/16)? Yes No Question Title * 9. Have you participated in any of the statewide TCLW challenges in the past? Yes No Question Title * 10. Do you feel that you have agency leadership support? Yes No Question Title * 11. Have you completed either the Online Pathway or any Coaching Calls? Yes No Question Title * 12. Are you familiar with the QuitNet tobacco cessation program or the Diabetes Prevention Program? Yes No Question Title * 13. Do you know where to find the Wellness Ambassador Portal? Yes No Question Title * 14. Do you know where to find the Physician Form? Yes No Question Title * 15. Are you able to locate the Wellness Events calendar on the TCLW website? Yes No Question Title * 16. Do you regularly attend the in-person Wellness Ambassador meetings? Yes No Question Title * 17. If you answered yes to question 16, what do you hope to gain by attending the Wellness Ambassador meetings? Question Title * 18. If you answered yes to question 16, do you believe the Wellness Ambassador meetings are valuable and worth the time spent away from your office? Question Title * 19. If you answered no to question 16, what should be changed about the Wellness Ambassador meetings? Question Title * 20. What topics would you like to see on future Wellness Ambassador meeting agendas? Question Title * 21. Do you regularly attend the Wellness Ambassador monthly conference calls? Yes No Question Title * 22. Do you know where to direct colleagues who have questions about the TCLW program? Yes No Thank you for completing this survey. Your feedback is truly appreciated. Done