Family Fitness - Wellness Program Assessment

Thank you for taking a few minutes to answer a short survey about wellness!

Your responses will help the Department of Family Medicine (DFM) craft our “Family Fitness” wellness model and messaging.


In general, how would you rate your overall personal health?

Question Title

* 1. In general, how would you rate your overall personal health?

What do you want to improve for yourself to be healthier/feel better? (Check all that apply)

Question Title

* 2. What do you want to improve for yourself to be healthier/feel better? (Check all that apply)

What are you currently doing to improve/maintain your health? (Check all that apply)

Question Title

* 3. What are you currently doing to improve/maintain your health? (Check all that apply)

How interested are you in working to improve your overall health?

Question Title

* 4. How interested are you in working to improve your overall health?

What do you see as your barriers to being healthier? (Check all that apply)

Question Title

* 5. What do you see as your barriers to being healthier? (Check all that apply)

I feel that our Department is very supportive of my efforts to improve/maintain my health, both at work and on my own time.

Question Title

* 6. I feel that our Department is very supportive of my efforts to improve/maintain my health, both at work and on my own time.

During a typical work week, while at work how able do you feel to do whatever you need to do to take care of your health ?

Question Title

* 7. During a typical work week, while at work how able do you feel to do whatever you need to do to take care of your health ?

How likely are you to participate in these activities/resources when offered by the Department? (Check all that apply)

Question Title

* 8. How likely are you to participate in these activities/resources when offered by the Department? (Check all that apply)

As a way of tracking our progress toward improving overall department health and wellness, what criteria do you think DFM should measure?

Question Title

* 9. As a way of tracking our progress toward improving overall department health and wellness, what criteria do you think DFM should measure?

What ideas do you have for the Family Fitness group to help integrate wellness into our work culture?

Question Title

* 10. What ideas do you have for the Family Fitness group to help integrate wellness into our work culture?

T