Healthy Okaloosa Worksites Survey
Thank you for your interest in the Healthy Okaloosa Worksites program!
We look forward to working with you. Please answer a few questions to tell us about your site:
1.
Name of Worksite
2.
Contact Name
3.
Contact Title
4.
Contact Phone
5.
Contact Email
6.
Best Method of Contact
Phone
Email
7.
Address of Worksite
8.
How many employees work at your site?
9.
Does your worksite have a wellness program?
Yes
No
10.
Does your worksite provide health insurance to employees?
Yes
No
