Healthy Worksite Initiative Contact Form

Weber-Morgan Health Promotion would like to support your organization in improving current employee wellness offerings. There may be some remuneration available for these activities.

Workplaces in Weber and Morgan Counties are invited to fill out this form and share your needs with us. We are able to help you assess your existing benefits, create programming for priority health issues, or develop policies that support the well-being of patrons and employees of your organization.

Question Title

* 1. What is the name of your business?

Question Title

* 2. Is your business located in either Weber or Morgan county?

Yes

Question Title

* 3. What is your first and last name?

Question Title

* 4. What is your phone number?

Question Title

* 5. What is your email address?

Question Title

* 6. Do you prefer to reached by phone or email?

Phone

Either

Question Title

* 7. What is your motivation to improve the health of your employees? Choose all options that apply.

Improving employee satisfaction

Reducing employee turnover/ improving employee retention

Increasing productivity

Decreasing absenteeism/ lost time

Reducing healthcare costs

Other (please specify)

Question Title

* 8. Would you like assistance assessing current employee wellness programs and needs?

Yes

Maybe

Question Title

* 9. Which health promotion programs would you like assistance with? (Choose all that apply)

Promoting employee physical activity

Improving employee nutrition

Promoting mental health and stress management

Helping employees to quit smoking or vaping

Strengthening anti-smoking/ vaping policies

Improving breastfeeding resources and breastfeeding policies

Improving resources for employees with diabetes

Improving resources for all chronic disease prevention and management

Promote awareness of access to basic needs and services (i.e., Supplemental Nutrition Assistance Program, WIC)

Other (please specify)

Thank you for filling out the Worksite Wellness Initiative Contact Form. Someone from the Health Promotion Department will reach out to you to discuss partnering opportunities. If you have question in the meantime, please call 801-399-7284.