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* 1. Please select your status.

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* 2. Did you know that wellness services offered through the WellPATH Employee Wellness Program are available to employees, spouses, domestic partners, early retirees, retirees, and dependents (18 years and older) covered by the District's medical plan?

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* 3. Do you feel you have a good understanding of general health/wellness and disease prevention recommendations?

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* 4. Which areas of wellness are you most interested in learning more about? (check all that apply)

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* 5. In which of the following WellPATH services would you consider participating? (check all that apply)

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* 6. What day(s) and time(s) would you be most likely to participate in a wellness activity? (check all that apply)

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* 7. How long should a wellness activity last? (check all that apply)

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* 8. Where would you be most likely to attend a wellness activity? Please also include any suggestions you may have for locations. (check all that apply)

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* 9. How would you like to learn about health and wellness information? (check all that apply)

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* 10. What are some of the existing barriers, if any, that may prevent you from participating in WellPATH services? (check all that apply)

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* 11. Would you be willing to help plan and/or promote wellness activities for the WellPATH Employee Wellness Program?

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* 12. Please provide the following information if you would like to receive updates on the WellPATH Employee Wellness Program.

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* 13. If you have additional comments, please let us know here!

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