Thank you for taking the time to complete this survey. Your responses will give Thrive, Unity's employee wellness program, insight into the types of activities that interest you. This anonymous survey will take you five to seven minutes to complete. You have the option to automatically enter a raffle for one of 10 Wegmans $50 gift cards, by filling in your name and contact information at the end.

Please contact Renee Elwood at 723-7159, or relwood@unityhealth.org if you have questions about this survey or if you have wellness-related suggestions or comments.

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* 1. What is your gender?

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* 2. What is your age range?

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* 3. What area do you work for at Unity?

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* 4. What shift do you work? Check multiple if applicable.

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* 5. How would you rate your overall current level of health & wellness?

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* 6. What does good health mean to you personally? Check all that apply.

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* 7. Which of the following activities or offerings would be of interest to you if they were available at Unity? Please rate each activity or offering as one of the following: "Not Interested," "Somewhat Interested," or "Very Interested," in participating if it were offered.

  Not Interested Somewhat Interested Very Interested
On-site farm market
On-site group fitness activities for all employees (Yoga, Zumba, aerobics)
Team/individual weight loss challenges with monetary reward for winners
Running or walking groups
Cycling group
Nutrition information on Unity cafe foods
Discounts on healthy foods in Unity cafes
Healthy food choices offered at meetings and events
Healthy cooking classes & "tasting" events
Wellness information bulletin boards
Back care education
Budgeting & financial planning
Cancer education/screens
Diabetes education/screens
Heart health education
Emotional wellness support
Stress management
Self defense
Work life balance support & resources
Smoking cessation
Time management training
Breastfeeding resources
Health and wellness fairs
Personalized free health coaching
Active transportation (biking, walking, mass transit)
Sleep disorders education/screens
Alternative & holistic care (acupuncture, bio-feedback, Reiki)

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* 8. For each of the following, please indicate your level of interest as: "Not Interested," "Somewhat Interested," or "Very Interested."

  Not Interested Somewhat Interested Very Interested
Aerobics
Hula Hooping
Line Dancing
Pilates
Tai Chi
Yoga
Zumba

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* 9. What is the ideal time for you to attend an on-site fitness class? Check all that apply.

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* 10. What vendors are you most likely to seek out at the annual Thriving Thursday Health Fairs?

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* 11. I am most likely to participate in wellness activities that are scheduled:

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* 12. My access to a computer, smart phone and/or tablet is:

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* 13. I would be most likely to participate in wellness activities or receive wellness information if:

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* 14. How would you prefer to receive communications regarding employee health and wellness activities? Check all that apply:

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* 15. Did you participate in the Know Your Numbers health evaluation in August 2013?

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