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Surveys
2015
April
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On-Site Services PM Survey
On-Site Services PM Survey
HealthFitness Program Managers Survey
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Exit Survey
You are invited to participate in our survey regarding On-Site Heath & Wellness Products and Services focused on three areas – Coaching, Group Programming and Occupational Health. In this survey, you will be asked to complete questions about your client company/site location. Please note the following:
* If you are working on a national account with multiple site locations, please make sure the questionnaire is completed for each individual location separately. For example, if you work on Client Company ABC that has three site locations, three completed responses are needed, one for each site location.
* If multiple people from your specific location receive this email, please coordinate and make sure that only one person is responding for your location. The survey only needs to be completed once for each site location.
It is very important for us to collect your input by Friday, May 1, 2015. If you have questions at any time about the survey, you may contact Mandi Campana by email to the Account Management inbox at
[email protected]
.
Thank you very much for your time and support.
It will take approximately 30 minutes to complete the questionnaire. Please start with the survey now by clicking on the Continue button below. Please complete by Friday May 1, 2015
*
Your Name:
*
Client Company Name (the client company that you work with every day):
*
Client Site Location (City):
*
Client Site Location (State):
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Client Site GL Code:
Please think of the
on-site
health and wellness products and/or services offered by your client company for their employees at your site location. Please only think of those products and/or services provided
on-site
at your client company/site location, and do not consider those available online, or at a location outside your client’s company site. These products and/or services may be provided by HealthFitness or other companies and organizations (e.g., local hospital or health plan).
Please answer the following questions to your best knowledge of the client company/site location.
*
First please consider
Face to Face Individual Coaching
that is provided on-site to help encourage behavior change and support health improvements through
one on one in-person
consultation and interaction. Does your client company/site location provide the following types of Face to Face Individual Coaching?
(Select all that apply. See definitions below for certain types.)
Face to Face Individual Coaching Definitions:
*
Benefit Advocacy
: Personalized advocacy to solve medical claim problems, including navigation support of the health care system, reconciling and/or auditing health care billing, upholding confidentiality and privacy standards, and other services
*
EAP - Employee Assistance Programs
: Personalized approach to addressing behavioral health, personal and/or family issues, child/elder care issues, legal support, abuse/addiction counseling and community support
*
Life/Professional Development Coaching
: Personalized coaching to support personal and/or professional improvement efforts, focusing on quality of life improvements and/or professional development for career growth
*
Financial Wellness Coaching
: Personal finance assistance, personal/family budgeting, saving for the future – NOT the client’s 401k product and/or service
Healthy Lifestyle Coaching
Nutrition Coaching
Disease Management Coaching
Benefit Advocacy
EAP - Employee Assistance Programs
Life/Professional Development Coaching
Financial Wellness Coaching (NOT 401k product and/or service)
Other
None - my client company/site location does NOT provide Fact to Face Individual Coaching
Specify Other
*
Now think about the companies or organizations that provide Face to Face Individual Coaching services at your client company/site location. If multiple companies provide the same type of service, please consider the
primary
service provider.
Which of the
Face to Face Individual Coaching
services available at your client company/site location is currently provided only or primarily by
HealthFitness
?
(Select all that apply)
Healthy Lifestyle Coaching
Nutrition Coaching
Disease Management Coaching
Benefit Advocacy
EAP - Employee Assistance Programs
Life/Professional Development Coaching
Financial Wellness Coaching (NOT 401k product and/or service)
Other
None of the above (services NOT provided by HealthFitness)
*
Which of the
Face to Face Individual Coaching
services available at your client company/site location is currently provided only or primarily by
another company or organization (NOT HealthFitness)
?
(Select all that apply. Make sure your answers to this and the previous question do not conflict)
Healthy Lifestyle Coaching
Nutrition Coaching
Disease Management Coaching
Benefit Advocacy
EAP - Employee Assistance Programs
Life/Professional Development Coaching
Financial Wellness Coaching (NOT 401k product and/or service)
Other
None of the above (services NOT provided by other companies/organizations)
For the
Face to Face Individual Coaching
services at your client company/site location which are provided by
other companies or organizations
, what is the name of the company or organization that provides each type of service?
(If you do not know the supplier name, please indicate by typing in IDK.)
*
Now please consider
Group Programming
that is provided
on-site
that engages
a group of employees
in targeted health programs, health and wellness education seminars, coaching and activities. Does your client company/site location provide the following types of
Group Programming
?
(Select all that apply. See definitions below for certain types.)
Group Programming Definitions:
*
Healthy Lifestyle Group Coaching
: Coaching small to large groups of people with similar health risks together, e.g., in a class/conference room setting
*
Energy Management
: Instructing small to large groups to be more aware of their energy level and obstacles at work and at home and to use management techniques to be more resilient
*
Financial Wellness Seminars
: Small to large group seminars focused on balancing a checkbook, budgeting for necessary and nice to have things, credit card do's/don't's, taking out a loan for a home purchase/improvement, etc.
Health Education Seminars
Healthy Lifestyle Group Coaching
Health Improvement Classes or Programs (e.g., weight loss, stress management)
Disease Management Group Coaching
Energy Management
Energy/Stretch Breaks (pre/post shift)
Teambuilding Activities
Health and Wellness Challenges/Contests
Financial Wellness Seminars
Other
None - my client company/site location does NOT provide Group Programming
Specify Other
*
Now think about the companies or organizations that provide
Group Programming
services at your client company/site location. If multiple companies provide the same type of service, please consider the
primary
service provider.
Which of the
Group Programming
services available at your client company/site location is currently provided only or primarily by
HealthFitness
?
(Select all that apply)
Health Education Seminars
Healthy Lifestyle Group Coaching
Health Improvement Classes or Programs (e.g., weight loss, stress management)
Disease Management Group Coaching
Energy Management
Energy/Stretch Breaks (pre/post shift)
Teambuilding Activities
Health and Wellness Challenges/Contests
Financial Wellness Seminars
Other
None of the above (services NOT provided by HealthFitness)
*
Which of the
Group Programming
services available at your client company/site location is currently provided only or primarily by
another company or organization (NOT HealthFitness)
?
(Select all that apply. Make sure your answers to this and the previous question do not conflict)
Health Education Seminars
Healthy Lifestyle Group Coaching
Health Improvement Classes or Programs (e.g., weight loss, stress management)
Disease Management Group Coaching
Energy Management
Energy/Stretch Breaks (pre/post shift)
Teambuilding Activities
Health and Wellness Challenges/Contests
Financial Wellness Seminars
Other
None of the above (services NOT provided by other companies/organizations)
For the
Group Programming
services available at your client company/site location which are provided by
other companies or organizations
, what is the name of the company or organization that provides each type of service?
(If you do not know the supplier name, please indicate by typing in IDK).
*
Now please consider
Occupational Health
services that are provided
on-site
to help identify and control the risks arising from physical, chemical, and other workplace hazards in order to establish and maintain a safe and healthy working environment. Does your client company/site location provide the following types of
Occupational Health
services?
(Select all that apply. See definitions below for certain types.)
Occupational Health Service Definitions
:
*
On-Site Health Clinic
: An on-site clinic that includes a focus on occupational health and may also provide primary care and/or urgent care
*
Functional Job Analysis and Description
: Identification and quantification of the physical demands of work tasks
*
Functional Capacity Evaluation
: Comprehensive physical test to measure a worker’s ability to safely and effectively perform job-specific tasks
*
Post-Offer/Pre-Work Fit for Duty Testing
: Job specific comprehensive test to determine if a worker has the functional ability to perform the essential job demands. This is applicable at time of hire, return from injury or illness, or job transfers, or for ongoing surveillance exams (e.g., for security officers, emergency responders)
*
Ergonomic Evaluation
: Assessments to identify and mitigate ergonomic risks that could result in injury/illness in the worksite
*
Injury Prevention and Training
: Examples include Safe Work Practices (body mechanics), training for specific body areas, e.g. low back, neck, shoulders, elbow, wrist, hand, lower extremities
*
Work Conditioning/Return to Work Training
: Exercise and work simulation training to prepare employees to return to work post injury or to prepare new employees for physical job tasks
*
Functional Movement Screenings
: Screening to identify mobility and stability dysfunctions/deficits that may predispose an employee to injury and/or illness
*
Occupational Health Case Management
: Providing case management for employees with injuries/illnesses (Worker’s Compensation, STD, LTD and FMLA) and working closely with employees, management, Human Resource, attorneys and insurance companies to coordinate a safe and efficient return to work for employees
On-Site Health Clinic
Functional Job Analysis and Description
Functional Capacity Evaluation
Post-Offer/Pre-Work Fit for Duty Testing
Ergonomic Evaluation
Injury Prevention and Training
Work Conditioning/Return to Work Training
Physical/Occupational Therapy
Occupational Health and Safety (OHS) Staffing (e.g., nurse, physicals, surveillance exams)
Functional Movement Screenings
Occupational Health Case Management
Other
None - my client company/site location does NOT provide Occupational Health service
Specify Other
*
Now think about the companies or organizations that provide
Occupational Health
services at your client company/site location. If multiple companies provide the same type of service, please consider the
primary
service provider.
Which of the
Occupational Health
services available at your client company/site location is currently provided only or primarily by
HealthFitness
?
(Select all that apply)
On-Site Health Clinic
Functional Job Analysis and Description
Functional Capacity Evaluation
Post-Offer/Pre-Work Fit for Duty Testing
Ergonomic Evaluation
Injury Prevention and Training
Work Conditioning/Return to Work Training
Physical/Occupational Therapy
Occupational Health and Safety (OHS) Staffing (e.g., nurse, physicals, surveillance exams)
Functional Movement Screenings
Occupational Health Case Management
Other
None of the above (services NOT provided by HealthFitness)
*
Which of the
Occupational Health
services available at your client company/site location is currently provided only or primarily by
another company or organization (NOT HealthFitness)
?
(Select all that apply. Make sure your answers to this and the previous question do not conflict.)
On-Site Health Clinic
Functional Job Analysis and Description
Functional Capacity Evaluation
Post-Offer/Pre-Work Fit for Duty Testing
Ergonomic Evaluation
Injury Prevention and Training
Work Conditioning/Return to Work Training
Physical/Occupational Therapy
Occupational Health and Safety (OHS) Staffing (e.g., nurse, physicals, surveillance exams)
Functional Movement Screenings
Occupational Health Case Management
Other
None of the above (services NOT provided by other companies/organizations)
For the
Occupational Health
services available at your client company/site location which are provided by
other companies or organizations
, what is the name of the company or organization that provides each type of service?
(If you do not know the supplier name, please indicate by typing in IDK).
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