Wellness Audit Question Title * 1. Please provide your email address Question Title * 2. Please provide the name of your organization Question Title * 3. Select the ongoing wellness service offerings you currently offer (select all that apply): Health Risk Assessment Annual Biometric Health Screening Worksite health clinic Worksite gym or gym membership discount/reimbursement Nutrition counseling Online Health Portal and/or Mobile App with health/wellness tools Annual Flu shots Ongoing live wellness programming/prevention/health coaching Health education and access to information regarding self care Other (please specify) Question Title * 4. Wellness offerings are available to (select one that applies best): All employees Benefit insured employees only All employees and spouses Benefit insured employees and spouses only All employees, spouses, retirees and/or other Other (please specify) Question Title * 5. My organization has policies that promote wellness, including (select all that apply): Non smoker earns benefits or rewards Participation in wellness programs earns benefits rewards Healthy outcomes (measured by annual screenings or data submitted by physician) earns benefits or rewards Other (please specify) Question Title * 6. Wellness outcomes are presented at least annually to upper management. True False Other (please specify) Question Title * 7. Upper management plays a roll in wellness communications to employees. True False Other (please specify) Question Title * 8. At least one individual is designated as the Wellness leader within the organization and has some control over wellness decision making and communication True False Other (please specify) Question Title * 9. Wellness program details are available for employees to access at anytime on a central employee resource (health portal, Intranet, HR/Wellness designee, printed materials) True False Other (please specify) Question Title * 10. Proactive wellness communications are pushed to employees (select one most applicable option). Never Quarterly Monthly Weekly Other (please specify) Question Title * 11. Average annual participation in biometric health screening among eligible employees is: (select one most applicable option): 0% 1-25% 25-50% 50-75% 75-100% Other (please specify) Question Title * 12. Average participation in online or live workshops (if applicable) is: (select one most applicable option): 0% 1-25% 25-50% 50-75% 75-100% Other (please specify) Question Title * 13. Average participation in health coaching among designated high risk eligibles is: (select one most applicable option): 0% 1-25% 25-50% 50-75% 75-100% Other (please specify) Question Title * 14. Wellness program performance success is based on (select all that apply): Participation among eligibles Annual improvement/decline in average population health risks Claims management of high-risk population Claims management of total eligible population Change in average annual Health Risk Assessment scores Other (please specify) Question Title * 15. Select the one response most appropriate to your organization's use of cost sharing (outcomes based incentives): Currently apply an incentive/surcharge for participation in wellness program Currently apply an incentive/surcharge based on outcomes of health risk assessment Currently blend both participation and outcomes into points-based model for incentive/surcharge Plan to apply incentive/surcharge for participation in wellness within the next two years Currently apply an incentive/surcharge for participation in wellness program AND plan to move to outcomes based incentive within next two years Currently apply an incentive/surcharge for participation in wellness program AND plan to move to blend both participation and outcomes into points-based model for incentive/surcharge within the next two years Do not currently offer incentive for either participation or outcomes in wellness programs Other (please specify) Done