Workplace Wellness Consortium Question Title * 1. What is your name? Question Title * 2. What is the name of the organization you represent? Question Title * 3. What type of organization is it? (Check all that apply.) Service provider Government School Manufacturing Retail Healthcare Non-profit Other (please specify): Question Title * 4. What is your position in the organization? Question Title * 5. Where is your organization located? Litchfield Hutchinson Other (please specify): Question Title * 6. Do you have a wellness team established in your organization? Yes No Question Title * 7. Who, if anyone, is your organization's point person for workplace wellness? Me Our organization doesn't have a person designated as the point person Other, please specify who: Question Title * 8. Does your organization have a workplace wellness budget? Yes No Question Title * 9. Does your organization’s health insurance carrier offer a wellness program? Yes No My organization does not provide employee insurance Unsure Next
