What is your campus location?

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* 1. What is your campus location?

Which category best describes your position?

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* 2. Which category best describes your position?

Which of the following categories best describes your employment status?

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* 3. Which of the following categories best describes your employment status?

Please choose the gender you identify with

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* 4. Please choose the gender you identify with

Check your age group (optional)

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* 5. Check your age group (optional)

How do you like to receive information about health topics and other wellness-related initiatives and
programs at work? (Mark all that apply.)

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* 6. How do you like to receive information about health topics and other wellness-related initiatives and
programs at work? (Mark all that apply.)

When thinking about making changes to become healthier, where do you see yourself?

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* 7. When thinking about making changes to become healthier, where do you see yourself?

Which of the following health topics interest you? (Mark all that apply).

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* 8. Which of the following health topics interest you? (Mark all that apply).

Where do you currently participate in physical activity/exercise? (Mark all that apply).

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* 9. Where do you currently participate in physical activity/exercise? (Mark all that apply).

What type of physical activity/exercise do you enjoy doing? (Mark all that apply).

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* 10. What type of physical activity/exercise do you enjoy doing? (Mark all that apply).

Of the following types of wellness-related activities, which would you be likely to participate in or take advantage of? (Mark all that apply.)

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* 11. Of the following types of wellness-related activities, which would you be likely to participate in or take advantage of? (Mark all that apply.)

What is the best time of day to participate in wellness-related activities? (Please check only one
answer.)

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* 12. What is the best time of day to participate in wellness-related activities? (Please check only one
answer.)

Which of the following incentives would encourage or increase your participation in health promotion activities? (Mark all that apply.)

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* 13. Which of the following incentives would encourage or increase your participation in health promotion activities? (Mark all that apply.)

Which of the following are reasons that you might not participate in University-sponsored
wellness-related activities (onsite biometric screenings, wellness campaigns etc)?
(Mark all that apply).

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* 14. Which of the following are reasons that you might not participate in University-sponsored
wellness-related activities (onsite biometric screenings, wellness campaigns etc)?
(Mark all that apply).

Would you be interested in participating in parenting programs/topics that equip you with insights and tools that foster well-being in yourself and your children? Example topic ideas include: Are you over-scheduling your kids; Getting kids to listen without nagging; Are your family's routines working?

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* 15. Would you be interested in participating in parenting programs/topics that equip you with insights and tools that foster well-being in yourself and your children? Example topic ideas include: Are you over-scheduling your kids; Getting kids to listen without nagging; Are your family's routines working?

Do you participate in Farms to Pitt or a related local produce delivery program?

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* 16. Do you participate in Farms to Pitt or a related local produce delivery program?

If the University of Pittsburgh created a vegetable garden on campus (to promote better nutrition), would you be interested in helping take care of it?

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* 17. If the University of Pittsburgh created a vegetable garden on campus (to promote better nutrition), would you be interested in helping take care of it?

If you currently use tobacco products, are you interested in quitting?

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* 18. If you currently use tobacco products, are you interested in quitting?

If you are a tobacco user and are ready to quit, would you be interested in attending an onsite tobacco cessation group class on campus?

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* 19. If you are a tobacco user and are ready to quit, would you be interested in attending an onsite tobacco cessation group class on campus?

If the University of Pittsburgh sponsored a 5K race that includes other local universities, would you
participate?

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* 20. If the University of Pittsburgh sponsored a 5K race that includes other local universities, would you
participate?

Please include any suggestions you may have on workplace wellness in the space below.

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* 21. Please include any suggestions you may have on workplace wellness in the space below.

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