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* 1. Are you interested in improving your current health status?

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* 2. Would you participate in employer-sponsored health improvement activities at work?

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* 3. Would you use interactive online tools to learn about your health?

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* 4. If offered, which wellness programs and activities would you participate in at work? (Check all that apply.)

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* 5. How would you prefer to engage in wellness programs and activities? (Check all that apply.)

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* 6. How would you prefer to receive health information at work?

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* 7. What is the best time for you to participate in on-site activities?

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* 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?)

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* 9. Are you interested in being part of the wellness committee to support a healthier workplace? If yes, Please enter you contact information below.

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* 10. What else should we consider as we develop the WorkingWell program?

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* 11. If you don't read In the Loop, why not?

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* 12. If you prefer to participate during lunch, what time works best?

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