Company Demographics

Thank you for taking a few minutes to tell us about your efforts on workplace wellness.  The information you provide will help us as we develop a toolkit to support workplace wellness.  This survey is voluntary and results may be shared with local Chambers of Commerce for planning purposes.  If you have any questions about this survey please contact Phillip Ginter via phone at (844)840-0050 or via e-mail at
HealthlinkNY Community Network has teamed up with the following Chambers of Commerce for this survey:


* 1. Please provide your contact information in the space below.

* 2. Please provide the name of your company in the space below.

* 4. Please select the sector(s) which best describe your company.  (Please select all that apply.)

* 5. From the list below, please select the counties in which your company has offices.  (Please check all that apply.)

* 6. Are you a member of your local Chamber of Commerce?

* 7. Does your company currently have a workplace wellness program?