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Employee Health Survey
1.
Are you interested in improving your current health status?
Yes
No
2.
Would you participate in employer-sponsored health improvement activities at work?
Yes
No
3.
Would you use interactive online tools to learn about your health?
Yes
No
4.
If offered, which wellness programs and activities would you participate in at work? (Check all that apply.)
Nutrition and healthy eating (cooking, recipes, potlucks, etc.)
Weight management
Physical activity
Stress reduction
Preventative health
Workplace safety
Walking or other physical activity groups
Quitting smoking/tobacco
Health screenings (glucose, cholesterol, blood pressure management, etc.)
Health improvement competitions and team challenges
Flu prevention
Other (please specify)
5.
How would you prefer to engage in wellness programs and activities? (Check all that apply.)
Computer/virtual class
In-person class at work
Team challenge
Smartphone/mobile app
Lunch and learn
During meetings
Other (please specify)
6.
How would you prefer to receive health information at work?
Announcements at staff meetings
Special meetings
email
County website/intranet
Postings and handouts in common areas
Newsletters
Mail to your home
Information included in pay stub
In the loop
Other (please specify)
7.
What is the best time for you to participate in on-site activities?
Before work
Midmorning
Lunch time
Late afternoon
After work
Other (please specify)
8.
If rewards or incentives were offered for workplace health and wellness program participation, what would motivate you most to participate? (Check all that apply?)
Cash
Retail gift cards
Merchandise (hats, water bottles, fitness equipment, etc.)
Paid time off
Social opportunities focused on wellness
Competition
Cost reimbursement (gym membership, physical activity class, etc.)
Decrease in health care premium
Personal recognition
Other (please specify)
9.
Are you interested in being part of the wellness committee to support a healthier workplace? If yes, Please enter you contact information below.
Name
Email Address
Phone Number
10.
What else should we consider as we develop the WorkingWell program?
11.
If you don't read In the Loop, why not?
12.
If you prefer to participate during lunch, what time works best?
11 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
Current Progress,
0 of 12 answered
